Free Essay

Understanding Our Patient Educational Needs

In: Other Topics

Submitted By Mary8066
Words 1056
Pages 5
Understanding Standing Our Patient Educational Needs
When Cultural Diversity Meets Healthcare
Excelsior College Health Science
Author Note
This paper was prepared for HSC434: Health Literacy Issues and Solutions September 28, 2014, taught by Professor Linda Rozell-Shannon.
Improving provider-patient communication to overcome cultural diversity, healthcare literacy, and improve quality healthcare for all patients. Through good communication, understanding and positive feedback. Dialogue communication is like a two-way street given and taken of information to help improve provider-patient relationship, services and knowledge.
Keywords: Cultural diversity, Healthcare literacy, Communication
Understanding Standing Our Patient Educational Needs
When Cultural Diversity Meets Healthcare

Cross Walk
My patient is a 22-year-old Vietnamese female named Khanh Ly 9 months pregnant with her first child. Khanh Ly is new to our country and unable to speak or understand the English language her husband is an oversea oilfield worker currently working out of state. Patient currently has no family or friends to help guide her. Khanh Ly is coming to the clinic for a checkup after having sharp pains throughout the night. Not knowing anyone in the city, she picked the first clinic in the phone book.
Khanh Ly enters the clinic and welcomed by Nurses Mary. Mary is the clinics nurse educator.

Mary: Hello, My name is Mary your Nurse Educator, (Point to name badge, while escorting Khanh Ly to examine room for privacy) Type on smart pad to translate to Khanh Ly native language. Introduce the smart pad to Khanh Ly. Discover patient’s educational level and ability to learn. (Assessment)
Khanh Ly: I have used one in the past.
Mary: Khanh Ly J May I call you by your first name.
Khanh Ly: Yes, that will be fine
Mary: Just so, I might be mindful of and respect your cultural beliefs, would you mind identifying what language you speak and understand? This will help determine if the patient understand or speaks English, or if any member of the household does.
Khanh Ly: I speak Vietnamese and my husband speaks English and Vietnamese very well. I am trying to learn his language. Just very hard.
Mary: Is your husband at home and do you mind if we contact him.
Khanh Ly: (Tears in her eyes) “No, he is away with is work. He will not be back for few days.”
Mary: OK, How are you feeling today? “You seem to be having some pain’ Can you express your pain on a scale of 0 – 10, ten being the worst pain you ever had and zero no pain.
Khanh Ly: I am about a three right now, “do you think the baby will come before my husband gets back”
Mary: I cannot say right now; “the doctor will be in to examine you in a few minutes, she will be able to give you more information”. Can you tell me a little bit more about your pain? Where is the pain located, how long the pain last, and when you first started have pain.
Khanh Ly: I am mostly having pain in my lower back, it’s like you say sharp, like someone stabbing me in my back, it last just a few seconds and goes away, do you think my baby is ok.
Mary: “You should know that your reactions are entirely normal under the circumstances” Ok, When did you first start have pain.
Khanh Ly: Last night around 10:00 pm after I went to bed. When my husband called, he suggested I find a doctor. We just moved hear a week ago.
Mary: “I am pleased that you selected our clinic.”
Mary: have you been to see a provider before you moved?
Khanh Ly: Yes, up until we moved. You don’t think anything is wrong do you?
Mary: Most people in your situation would react the same way. I can tell that this is upsetting for you. What Worries you most about your pregnancy?
Khanh Ly: My husband is so far away, and my mother does not fly in until in the morning.
Mary: I am sorry that you have to go through this alone.
Mary: Khanh Ly; is it all right, if we contact your previous provider and retain a copy of your medical records.
Khanh Ly: I guess that will be ok.
Mary: Thank you the information will help us complete your medical record, and provide our physician with your past medical history.
Mary: Khanh Ly, What is your cultural background and believe? Are there any special cultural rituals that we need to consider, review, or provide, please include diet, celebrations of religious marriage and death that you feel I should know?
Khanh Ly: I would prefer female doctors, and we eat hot foods after birth; believing this promotes healing and helps prevent infection, I will not be taking a bath while in the hospital, or washing my hair until I become an active member of the household again. A local nurse will come regularly to clean the baby’s navel and provide genital cleansing for me to help promote healing. Using an herbal alcohol solution, as water is not used to bath. One other thing is we do not like others to give praise to the newborn; this could invite the attention of demon and ghosts. In addition, the baby’s health will not be good; he/she will cry much. If my baby cries, a lot I may make an amulet from seven chunks of mulberry and a needle to make a amulet and put it inside the baby’s pillow. Belief, the amulet is to dismiss ghost and make the baby sleep. Customs (Lundberg, 2011)
Mary: We will do are best to include your wishes in your plan of care. Do you have any questions for me?
Khanh Ly: No, No
Mary: If you do not mind, I will go get the doctor now.
Khanh Ly: (shyly answers) Yes, that will be ok. I do feel better now.
Mary: I will be back in five minutes.

Bastable, S. G. (210). Health Professional as Educator: Principles of Teaching and Learning. Jones & Bartlett Publishers.
Lundberg, P. C. (2011). Vietnamese women’s cultural beliefs and practices related to the postpartum period. Science Direct, 731-736.
Nadirshaw, Z. (1997). Adults with Learning Disabilities; Practical Approach for Health Professionals. J.O'Hara & A. Sperlinger, 139-153.…...

Similar Documents

Free Essay

Understanding Non-Adherence in Patients with Severe Mental Illness

...Understanding Non-Adherence in Patients with Severe Mental Illness Grand Canyon University-NRS-433V November 17, 2013 During many situations in nursing it may feel like fighting an uphill battle, especially when discussing the importance of compliance and long-term adherence to the treatment plans to our patients on a daily basis. Whether it be a patient with newly diagnosed diabetes, heart disease or a mental illness, continued follow up and care are essential for patient outcomes. A large part of compliance is continuing medication as prescribed, The Center for Disease Control and Prevention, (2012) estimates that of prescriptions written 20-30% are never even filled. For those suffering from severe mental illness the issue arises when adherence stops and symptoms take control of their daily lives, putting them at increased risk for substance abuse, assaultive behavior and lower quality of life. Despite continued evidence supporting the efficacy of psychiatric medications in improving symptoms only about half of those receiving medication treatment take it as prescribed. Even worse, in a recent randomized clinical-trial studying anti-psychotic for effectiveness it was reported that 74% of those prescribed medication discontinued use after 18 months (Roe, Goldblatt, Baloush-Klienman, Swarbrick & Davidson, 2009). But for many patients more medication means additional side effects, less freedom and change in their view of themselves. Professionals taking care of......

Words: 1226 - Pages: 5

Premium Essay

Assess the Contribution of Functionalism to Our Understanding of Families and Households

...Assess the contribution of functionalism to our understanding of families and households. Functionalism is a macro approach to society. It is based on a consensus that society as whole is run by and for the benefit of all its members. Early Functionalists such as Durkheim believed that society is made up of many institutions which work together to function. Regarding families, Functionalists believe that the nuclear family is best for society. Functionalists look at what the functions the family performs and they therefore say that the nuclear family is best for society. For example functionalists believe that traditional domestic roles (for the male to play an instrumental role as the breadwinner and the female to do the dual-burden) are necessary to ensure that children are socialised correctly with both male and female role models. Functionalists believe that the nuclear family is perfect for bringing up a geographically mobile workforce which allows families to move about for work easily, for example Functionalists believe during the industrial revolution nuclear families became more common as it was easier for families to move to an urban area in search of work than if it was for example an extended family. Conflict theories such as Marxism and Feminism challenge the Functionalism and the consensus of society by taking a more critical view. Social historians such as Laslett and Anderson also criticize the functionalist view of a ‘Functional Fit’ in the family. The......

Words: 3354 - Pages: 14

Premium Essay

Understanding Customer Needs

...Understanding customer needs As an HR practitioner it is important to indentify the needs of customers and prioritise the needs of each. Three examples of different customer and a need for each: 1. An employee enquiring about their holiday entitlement for the next holiday year 2. Payroll department require new employee details the day before the cut off period 3. Manager who requires the sickness absence report for an employee who has triggered a disciplinary hearing scheduled for the following week In order to be able to prioritise the needs of each customer it is suggested that urgency and importance be considered for each one. Reviewing the customer needs the order of priority would be task two, three and one. This order of priority has been selected because task two is required urgently and can be dealt with swiftly. Gathering the information for task three is important and can be time consuming so it is essential that this task is completed. Task three is not a high priority as it is for the next holiday year and can be answered at a later stage. Effective communication “To be effective, communication needs to be clear, easily understood and concise. Information should be presented systematically on a regular basis and be as relevant, local and timely as possible.” Armstrong 2012 There are various channels of communication and the method needs to be considered to ensure it is appropriate for the recipient. Communication methods: Emails There are advantages......

Words: 329 - Pages: 2

Premium Essay

Educational Needs Assessment Paper

...Educational Needs Assessment Paper Geneva Young University of Phoenix NUR/588 Professor Jennie Pattison May 12, 2014 Educational Needs Assessment Paper An educational needs assessment is a procedure that identifies training and ranks educational needs in order of priority ((Yuskiewicz, 1975). An educational needs assessment helps the organization to discover the knowledge, skills, and abilities of staff and those needed by the organization to function at a desired level ((Wynne, n.d.). The following information will be discussed in this paper: type of institution, type of nursing care or services provided, volume of activity of the G.V. Sonny Montgomery Veterans Affairs Medical Center, levels of nursing care involved, a summary of the results of the educational needs, assessment, and analysis, identification of the highest priority educational need, identification of institutional forces and those against responding to educational needs, and identification of the next step to respond to the educational need. Type of institution The G. V. Sonny Montgomery Medical Center (VA) is a federal hospital that provides convenient access to high quality medical and surgical service to more than 125,000 veterans ("VA Medical Center," 2014). VA is also a teaching hospital that is accredited by the Commission in Accreditation of Rehabilitation Facilities (“VA Medical Center, 2014). The hospital provides primary, secondary, and tertiary medical, neurological, and mental health......

Words: 1692 - Pages: 7

Free Essay

Understanding Customer Needs

...UNDERSTANDING CUSTOMER NEEDS Barry L. Bayus Kenan-Flagler Business School University of North Carolina Chapel Hill, NC 27599 (919)962-3210 January 2005 Revised November 2007 prepared for Shane, S. (ed.), Blackwell Handbook of Technology and Innovation Management, Cambridge, MA: Blackwell Publishers The comments of the following people on an earlier draft are greatly appreciated: Sridhar Balasubramanian, Dick Blackburn, Paul Bloom, Ed Cornet, Ely Dahan, Abbie Griffin, Steve Hoeffler, Erin MacDonald, Jackki Mohr, Bill Moore, Vithala Rao, Allan Shocker, and Gal Zauberman. Introduction Touted as the “most significant category innovation since toilet paper first appeared in roll form in 1890,” dispersible (flushable) moist toilet tissue on a roll was introduced in the United States by Kimberly Clark in 2001. According to a corporate press release, Cottonelle Fresh Rollwipes was a breakthrough product that “delivers the cleaning and freshening of pre-moistened wipes with the convenience and disposability of toilet paper.” Internal market research seemed to indicate that there was a clear customer need for a new product to supplement dry toilet paper. Surveys and focus groups revealed that over 60% of adult consumers had experimented with a moist cleaning method (e.g., using baby wipes, wetting a washcloth, sprinkling water on dry toilet paper) and one out of four used a moist cleaning......

Words: 11667 - Pages: 47

Premium Essay

Asses the Contribution of Functionalist Sociologists to Our Understanding of the Family.

...Asses the contribution of functionalist sociologists to our understanding of the family. A function is a purpose and explains how this institution contributes to the maintenance and smooth running of society this approach to society is called functionalism. From a functionalists point of view a family is a heterosexual couple with dependent children, male is the breadwinner and woman is the housewife. Functionalists believe that the nuclear family supports society because it is geographically mobile and allows the family to move around with little trouble. Functionalists believe that society is based on a shared value consensus, this is a set of shared norms and values into which society socializes its members this enables society to work harmoniously and meet society's needs and goals. George Murdoch said that their are four main functions of the nuclear family these are; sexual, it strengthens relations in the family. Reproductive, family is the main unit of production. Educational, family is responsible for primary education. Economic, the family has to produce and consume something in order to satisfy its needs and wants. The nuclear family can be extended vertically, horizontally or by polygamy. Some may argue that Murdoch's definition is weak because at that time sex before marriage was not accepted as was single mothers and homo-sexual families. Talcott Parsons argued that although there are many functions that the family......

Words: 438 - Pages: 2

Premium Essay

Assess the Contribution of Functionalist Sociologist to Our Understanding of the Family

...sociologist to our understanding of the family Functionalists believe that society is based on a value consensus into which society socialises its members, which enables to cooperate harmoniously and meet society’s needs and goals. Functionalist’s sees that society is made up of a range of different sub-systems which depend on each other, and that society needs these functions or order for survival and is vital towards society. Functionalists see the family as a very important sub-system, as it raises and teaches children norms and values. According to Peter Murdock, he argues that the family performs four main functions to meet the needs of society and the members of society. One of the functions is the stable satisfaction of the sex drive, this is husbands and wives having sexual access to each other and that this maintains stability and limits sexual access of other members of society as you are with the same person. The second function is the reproduction of the next generation, this function is based on bearing and raising children and to provide the society with new members and take on the responsibility as parents to raise them and without this function society would not be able to continue. The third function is the socialisation of the young/educational function this is transmitting norms and values of the younger members, as without this function the norms would disrupt the stability of society. The last function is meeting its members’ economic needs, this are......

Words: 707 - Pages: 3

Premium Essay

Educational Needs Assessment Annotated Bibliography

...Educational Needs Assessment:Annotated Bibliography Akhtar-Danesh, N., Valaitis, R.K., Schofield, R., Underwood, R., Martin-Misener, A., & Kolotylo, C. (2010). A questionnaire for assessing community health nurses' learning needs. Western Journal of Nursing Research, 32(8), 1055-1072. This journal covers the important stages of the Learning needs assessment and how it impacts every educational process that is aimed to inform changes in practice and policy for continuing professional development. Professional opportunities have been widely used as a basis for the development of learning needs assessment. This article reports on the development of a learning needs assessment questionnaire for Community Health Nurses (CHNs). Exploratory and confirmatory factor analyses were conducted to examine the consistency of factors underpinning the Canadian Community Health Nursing (CCHN) Standards. Also, validity and reliability of the questionnaire were evaluated using appropriate techniques. This process resulted in a valid and reliable CHN learning needs assessment questionnaire to measure learning needs of large groups of practitioners, where other forms of measurement cannot be feasibly conducted. Aydin, A.K., & Karadaq, A. (September-October 2010). Assessment of nurses knowledge and practice in prevention and management of deep tissue injury and stage 1 pressure ulcer. Journal of Wound, Ostomy, and Continence Nursing, 37(5), 487-494. This is a good overview from a......

Words: 1706 - Pages: 7

Free Essay

Understanding What Data Needs to Be Collected

... 1. Understand what data needs to be collected to support the HR practices 1.1 Explain why an organisation needs t collect and record HR data There are many different reasons why organisations record HR data. On the legal side there are requirements to record data. It is important that organisations are operating in line with the law and government legislations and the only way to show they are compliant is via their data records. Legally companies are required to record data such as equal opportunity, right to work, incident records, tax, pension or minimum wage to name a few. If a company is not compliant with the law it will sooner or later run into trouble and be heavily fined or worse case it will cease to exist. (Please se appendix 1). 1.2 Identify the range of HR data that organisations collect and how this supports HR practice For the company’s own benefit data are recorded to gain a better inside view of the day-to-day operation and performance. In order to remain competitive in the market and demonstrate success it is vital to record data, as they will show the company’s level of performance and what action needs to be taken to drive the business forward. Companies rely heavily on the HR operation to support the daily business on planning and decision-makings as well as the compliance with the law. Helping with the companies’ decision making and staff planning are data such as personnel records, inductions, learning and development or performance records. This......

Words: 765 - Pages: 4

Premium Essay

Valuation of Spiritual Needs of Patients with Advanced Cancer

...Abstract Introduction: Spiritual needs play an important role in palliative care as both a clinical dimension and a therapeutic strategy. However, recent studies have shown that the management of this dimension still remains a challenge at the clinical level of palliative care. Goals: Our goal was to evaluate the spiritual needs of patients diagnosed with advanced and terminal cancer by the palliative care unit of a hospital in Barcelona, Spain. Methods: An observational study was conducted that involved 50 patients who were recruited between May 2007 and January 2008. A questionnaire was used which included 28 items selected from a review of the literature; the responses were analyzed using a five-point Lickert scale. The results were grouped in 11 categories corresponding to different spiritual needs. Results: Two spiritual needs emerged as the most relevant for the patients: their need to be recognized as a person until the end of their life and their need to know the truth about their illness. The least important spiritual needs were identified as those: for continuity and an afterlife; to get rid of obsessions; to achieve freedom from blame and to be able to forgive others; and the need for reconciliation and to feel forgiven by others. Conclusions: When patients knew the truth about their illnesses and they were treated with dignity, their most important needs were likely to be covered. These results suggest that patients receiving palliative care wish to live for......

Words: 478 - Pages: 2

Premium Essay

Understanding Specific Needs

...Introduction Communication among service users. Service provider and professional is one of the effort individual look into the health and social care since it has brought a propos medical error, inconvenience with enduring wellbeing and not have of regimented announcement connecting patients, service supplier and professional. According to case study I can detect the require of contact in health care professional, patient contact, and professional relations. To reach the conclusion necessary of this article, there are theory of communication in health concern area context that has to subsist useful, and suggest accomplish to improve the communication method. Apply relevant theories of communication to health and social care contexts. Communication involves interaction between people or organisations. Messages between a sender and receiver, like email or phone. In addition person during the transaction of data, opinion, verbal skill, signal and writings such as verbal and non-verbal. In health and social care, a great deal of communication is interpersonal, that is between two people who are physically present especially between those who are using the services. For example patients, their relatives, friends, and professional health workers and care practitioners. However, while communication between professionals and practitioners may be interpersonal, it is possible for people who communicate frequently in the course of their work to have never met in person. ......

Words: 6026 - Pages: 25

Premium Essay

Educational Preparation: the Influence on Patient Outcomes

...Educational Preparation: The Influence on Patient Outcomes Cheryl M Weems Grand Canyon University: NRS-430V June 27, 2015 Educational Preparation: Influence on Patient Outcomes New graduates from all nursing programs, regardless of degree obtained, take the same exam to be licensed. The question is, do they give the same standard of care? “The NCLEX test for minimal technical competency for safe entry into basic nursing practice” (“Fact sheet: creating a more highly qualified” 2015), but what other factors influence quality of care? How does the education level effect what decisions that are made regarding the patient? Long term nurses use their years of experience in their decision making process. New graduates, however do not have this wealth of knowledge to fall back on, they only have what they learned in school. Both learn basic skills and how to formulate a plan of care across multiple disciplines such as pediatrics, psychology and medical surgical. The Bachelor of Science in Nursing degree goes on to teach “a more in-depth treatment of the physical and social sciences, nursing research, public and community health, nursing management, and the humanities” (Impact of education 2015). That this additional education does make a difference can best be proved by nurses that started their career with an Associate Degree in Nursing or a Diploma in Nursing and went on to obtain a BSN. Liana Onsolini-Hain reviewed several studies for an article on the National......

Words: 1245 - Pages: 5

Premium Essay

Assess the Usefulness of These Theories in Our Understanding of Society

...Assess the usefulness of these theories in our understanding of society. (20 marks) In this essay I will be writing about how useful macro and micro theories are in our understanding of society. Macro theories are explanations that look at society as a whole, and the effect society has on people within it. In academics, macro theories attempt to explain the entirety of a subject in general or broad terms and example of a macro theory is Marxism. Micro theories are explanations that look at individuals how they act and interact with others, and how they make sense on the world. Micro theories also focus in detail on more specific elements of the discipline. An example of a macro theory is Feminism which was first introduced by the Suffragettes which was solely focused on political equality and then brought light to the topic in 1918, when women were given the right to vote if they owned their own house and were over the age of 30, shockingly it took another 10 years for the age to lower to vote to 21. They focused on the gender division between men and women. Feminists characterise our society as patriarchal, which means male dominated, and they argue that mainstream sociology focus on the concern of men and not on the concern of women. There are many elements within feminist attitudes and this incudes Marxism feminists. Liberal feminists, Radical feminists and Black feminists all have a similar goal which is to end male patriarchy in society and free society of exploitation...

Words: 652 - Pages: 3

Premium Essay

Assess the Contribution of Functionalist Sociologists to Our Understanding of the Family

...Using material from item 2b and elsewhere, assess the contribution of functionalist sociologists to our understanding of the family Functionalists believe that everyone has a role to play in society in order for it to work effectively. Not only does the family have practical uses like reproduction and primary socialisation, but also things that personally benefit each member of family like economic provision. Each individual has a different belief on the importance of family and how it impacts our lives; however, I think functionalism only covers the basic understanding of family and how we are impacted by our own. One functionalist who has a theory regarding family is George Murdock, who published his research in 1949. Murdock believe there are four functions to a family: sexual, reproductive, economic and educational. The sexual function is for the married parents. In order to stay together and uphold the traditional happy family, they enjoy a healthy sex life to prevent affairs and unhappiness within the marriage. This is important as it ensures the children of the couple are raised by their biological parents. The economic function is the means of the man going off to work in order to provide food and shelter for the rest of the family. Education is the primary socialisation of the children, they will have the expected norms and values of moral people, helping them to fit into society as they grow older. This ‘education’ will also help them learn their place in society...

Words: 833 - Pages: 4

Premium Essay

Managing the Needs of Patients with Diabetes Mellitus

...person(s) and placements (hospitals etc), have been changed. This work has not been submitted for any previous award. Date …17/5/2015……. Managing the Needs of Patients with Diabetes Mellitus LO1 Type 2 diabetes is a serious chronic condition affecting the body’s ability to regulate blood glucose levels. According to Diabetes UK (2012), there were 2.9 million people in the UK diagnosed with diabetes in 2012, and this is estimated to increase to 5 million by 2025. Up to 90% of people with diabetes are thought to be type 2. According to Diabetes UK (2006), many are unaware they have the condition and it can lead to long-term complications including eye problems, kidney disease, foot ulcers and cardiovascular disease. Gregg et al (2005), states advances in preventative medicine have seen an effective reduction in the burden of risk from hypertension and hyperlipidaemia but the incidence of diabetes has continued to rise, driving cardiovascular rates. There has been much done in recent years to identify people who are at high risk of developing diabetes. This assignment will discuss the link between diabetes, obesity and cardiovascular disease. It will also identify lifestyle and behaviour changes involving the multi-disciplinary team and structured patient education of diabetics. The case study for this assignment is Mrs Smith, newly diagnosed with type 2 diabetes and a family history of heart disease and......

Words: 5786 - Pages: 24

Ask the Editors | Portable Triangle Backpack Zipper Camera Bag Case for Canon Nikon Sony SLR DSLR | Baixar toque para celular