TransCultural Nursing Assessment - Essay Example

TransCultural Nursing Assessment    ____________ Time ____________   Pt Initials  __MCLewis______ Age __47____    M     F Medical dx She has been diagnosed for hypertension, must take medications. Communication - language, voice quality, pronunciation, use of silence and nonverbals.  Subjective- Can you speak English?      YES      NO         Can you read English?        YES      NO Are you able to read lips?   YES     NO Native Language? ____Filipino________________ Do you speak or read any other language? _____Yes__________________________ How do you want to be addressed?    Mr.   Mrs.   Ms    First Name   Nick Name___Mrs.Lewis_______________ Objective- How would you characterize the nonverbal communication style? The subject is open and does not fold her arms in front of me. She leans towards me which shows interest. She also maintains eye contact during the conversation. Eye contact -    Direct     Peripheral gaze or no eye contact preferred during interactions. Use of interpreter   Family    Friend    Professional    Other    None  Verbally loud and expressive.   Quiet, reserved   use of silence Meaning of common signs - O.K., got ya nose, index finger summons,  V sign, thumbs up She showed me a thumbs up sign meaning okay in her own language. Determine any familial colloquialisms used by  individuals or families that may impact on assessment, treatment or other interventions. Family members encourage one another to eat a lot of food . Food plays a central role in family get-together. Social Orientation - cultural,  ethnicity, family role function, work leisure, church, and friends.  Subjective- Country of birth? Philippines Years in this country Less than a year  (If an immigrant or a refugee, how long has the patient lived in  this country? -You are not questioning legal status.) What setting did you grow up in --  urban   suburban   rural  What is your ethnic identity? _Ilocano ( Ilocos region Philippines)   Who are the major  support people:  0family members  0friends  0other __including church members Who are the dominant family members? Husband_________________________________________________________ Who makes  major decisions for the family? _____________My husband and I_________________________________________  Occupation in native country______Teacher___________  Present Occupation___None____ Education? Bachelor of Science in Elementary Education Is religion important to you?_Yes, it is very important What is your religion affiliation? Roman Catholic would you like a Chaplain visit?  Y   N Any cultural/religious practices/restrictions?  If yes describe Cremation is not a possibility when someone dies. Objective- Interaction with family\significant other - describe Close relationship with other family members like parents, siblings, even extended family like nephews, niece, aunt and uncle Age and life cycle factors must be considered in interactions with individuals and families ( e.g. high value placed on the decision of elders, the role of eldest male or female in families, or roles and expectation of children within the family). Children are expected to obey parents and be submissive. Elders must be given full respect and they can intervene on family matters if needed. The eldest child is supposed to take care of the younger siblings. Religious icons on person or in room? Small statue of Virgin Mary with rosary Space - comfort in conversation, proximity to others, body movement, perception of space.  Subjective- Do you have any plans for the future? None so far, just take care of children What do you consider a proper greeting? Saying hi or hello. Asking some personal matters . Objective-   Tactile relationships, affectionate & embracing.   Non-contact  Personal space? She didn’t exhibit much space. The person was in fact touchy which is a characteristic of many Filipinos. Biological Variations - skin color, body structure, genetic and enzymatic patterns, nutritional preferences and deficiencies.  Subjective- What type of food do you prefer? Fatty and oily food, pork dishes, salty delicacy like bagoong What type of food to you dislike?_Spicy food and raw food like sushi what do you believe promotes health?_Having a relaxing atmosphere, religious practices like praying, exercise Family hx of disease? Mother and father has high blood pressure and diabetes. Objective- Skin color _Brown Hair type __Black, straight Environmental Control - health practices, values, definitions of health and illness.  Subjective- What do you think caused your problem? Too much eating and no exercise Do you have an explanation for why it started when it did? Subject views eating as healthy part of life and believes that hypertension is a by-product of aging process. However, she admits to lack of physical exercise as a factor that led to the condition. What does your sickness do to you; how does it work? It makes me feel dizzy How severe is your sickness? How long do you expect it to last? Not really that severe. What problems has your sickness caused you? Being unable to take care of my children What do you fear about your sickness? Having a heart attack or stroke What kind of treatment do you think you should receive? Medications What are the most important results you hope to receive from this treatment? My hypertension would return to normal levels What are the health and illness beliefs and practices of the family? Family member s should be supportive to sick people. Visiting sick family members is a must. What are the most important things you do to keep healthy? Try to minimize food consumption, pray to be relaxed Any concerns about health and illness? Subject doesn’t want to get hospitalized What types of healing practices do you engage in (hot tea and lemon for cold, copper bracelet for arthritis, magnets) ? She uses medicated ointments to relieve muscle pain, drinks cold water when she feels dizzy Objective-  Described patients appearance and surroundings The home environment was actually good since the house is well-kept. It also shows the subject’s compulsiveness of how things should be placed in various parts of the house.The subject wears loose clothing and very decent. She wears lipstick and conscious of the interview. What diseases/disorders are endemic to the culture or country of origin? _______Hypertension, heart disease, diabetes_______________________ What are the customs and beliefs concerning major life events? Celebrations are held for almost any occasion. Food must be served abundantly to connote generosity . During death in a family, people should observe superstitious beliefs like not allowing the dead person to wear any slippers. Time - use of measures, definitions, social and work time, time orientation -- past, present, and future.  Subjective- Preventive health measures ?   Y   N _________________________________________ Objective- Time orientation    Present   Past Hx of noncompliance, missed appointments? Does not take medications as prescribed by doctor Read More