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Managing Care in a Culturally Considerate Manner Patient Profile R.M., a 68-year-old male from Fiji, came into the emergency department with complaints of increased headache, dizziness, and blurred...

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Managing Care in a Culturally Considerate Manner

Patient Profile
R.M., a 68-year-old male from Fiji, came into the emergency department with complaints of increased headache, dizziness, and blurred vision. His blood pressure in the emergency room was 201/120. He received IV labetalol (Normodyne) and IV furosemide (Lasix) and was admitted to the cardiac unit for observation.

Subjective Data

  • States “I don’t feel well, but I don’t want all this medicine. I heard that garlic could help my high blood pressure and make it all better.”
  • Asks “I want all of my family with me in my room-can’t my family all come in?”
  • Wife is at bedside; several family members are in the hall.

Objective Data

Physical Examination

  • Temperature: 98.3°F; respirations: 22; pulse: 88; blood pressure: 210/120
  • Oxygen saturation: 95% on room air
  • Height 5’10”, 198 lb
  • The remainder of physical exam unremarkable

Diagnostic Studies

  • ECG reveals left ventricular hypertrophy
  • Chest x-ray shows cardiomegaly

  1. What further cultural assessment would you obtain?
  2. How would you address his statement about the use of garlic?
  3. While attempting to draw R.M.’s lab work, two children, his sister, several grandchildren, nieces, and nephews were all asking for information. Culturally speaking, list three ways to de-escalate the situation?
  4. How would you respond to the patient’s request to have all of his family in the room?

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Answered Same Day Dec 01, 2021

Solution

Sumita Mitra answered on Dec 03 2021
143 Votes
3
Case Study Analysis:
The case study is quite clear and states the condition of the patient. As for the cultural assessment. I would prefer to know about the patient background and also implement the “ABCD model of cultural assessment” for better results. This would help me to improve the communication with such a patient for better patient centred and safe care and avoid stereotyping regardless of their race, ethnicity Ultimately, undertaking cultural assessments will help healthcare professionals deliver safe and person-centered care to all people regardless of their race, ethnicity, language and culture. The ABCD model helps to assess the attitudes and the values of the patient and the family members on aspects like attitude, beliefs, context and decision making style.
I would tell him that he is absolutely right in pointing out the medicinal values of garlic in reduction of the blood pressure. Taking garlic daily is a process and it cannot lead to sudden reduction in BP actually....
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