Response to Samuel
I have had an experience of frequent flyer in my practice. The scenario of the patient making repeated visits to the emergency department with different variety made me think whether were not doing enough as healthcare professional or the patient was just ignorant of the patient education offered. Grover & Close (2009) indicated that frequent flyers have in most cases psychiatric, psychosocial, and substance abuse issues relative to the general population and thereby more challenge to manager. A recommendation issued to such patients is on having them seek consistent care from one physician rather than always seeking emergency care. In reference to the Mr. Q., it is clear that the environment aspect of his health is considered since the falls keep occurring with very limited being done to minimize the risks of falls. Your idea of exploring assisted living for the patient is an ideal one.
Grover, C. A., & Close, R. J. (2009). Frequent users of the emergency department: risky business. Western journal of emergency medicine, 10(3), 193.
Response to Lindsay
It is true that health history offers essential information to guide the health care professional in developing the care plan. Ohm, Vogel, Sehner, Wijnen-Meijer & Harendza (2013) observes that history taking is among the important aspects required to establish successful physician-patient interaction. UI believe that acquiring essential information from the medical history is essential in facilitating effective clinical decision making. These benefits are made clear in you post where understanding the patient’s history facilitated the determination of the possible test to carry out for the diagnosis process. This forms a good basis for achieving your objectives in playing the role of the patient’s advocate.
Ohm, F., Vogel, D., Sehner, S., Wijnen-Meijer, M., & Harendza, S. (2013). Details acquired from medical history and patients’ experience of empathy–two sides of the same coin. BMC medical education, 13(1), 67.
Response to Lindsey Bush
You have clearly identified different cultural aspects that are influence healthcare deliver. The cultural factor that I find most prevalent among healthcare professional is cultural imposition. I have experienced a few colleagues in practice attempting to impose religious beliefs as they attempt to console patients only for the patient to get aggrieved for the different religious opinion. This highlights a situation where the healthcare profession is ignorant of the effects of different cultural values. It is therefore important that all healthcare practitioners to have cultural competence to assist them in dealing with people from different cultural background. It is for this reason that cultural competence needs to be a continuous process to assist the healthcare professional operate effectively and efficiently (Lundwick & Silva, 2000).
Ludwick, R., & Silva, M. C. (2000). Ethics: nursing around the world: cultural values and ethical conflicts. Online Journal of Issues in Nursing, 5(3).
Response to Ken
The example that you have provided for cultural imposition where Western culture tends to dictate the standards of health. In this case, the Western culture tends to place emphasize the need for addressing physical health on top of other aspects such as spiritual health. This is an example of cultural imposition characterized with the tendency to thrust one’s beliefs, values, and patterns of behavior upon another culture (Nurse, 2015). Delivery of healthcare services cannot operate in such a situation of imbalance since one party will not be satisfied with services accorded. It is for this reason that healthcare delivery requires cultural awareness, skills, and knowledge.
Nurse, M. (2015). Culturally competent nursing care and promoting diversity in our nursing workforce. Michigan Nurse, 88(3), 7-11.
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