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Desire to understand and be sensitive to feelings, beliefs and situation.
Empathy
This is the expression of value and flexibility to meet the patients' needs based on their unique
situation.
Respect
Ability to respond truthfully.
Genuineness
Ability to respond using specific terms
Concreteness
This is used to clarify the message received or decoding the actual meaning.
Confrontation
Be aware of cultural preferences related to eye contact, space, and touch.
Therapeutic communication within cultures
Socially transmitted behaviors, arts, beliefs, values, customs, lifeways and other characteristics that
guide decision making.
Culture
- Provide identity and sense of belonging
- Consist of common beliefs & practices
- Material (clothing, art) and non-material (language, beliefs).
- Dynamic & adaptive
- Complex
- Diverse
- Influences thinking and activities
Culture Characteristics
Member share a common social & cultural heritage (race, physical chrematistics)
Ethnicity
Learning how to become a member of a society or a group.
Socialization
An individual assumes the characteristics of a culture they just immigrated to.
Acculturation
A new member learn and take essential values, beliefs and behaviors of the dominant culture
gradually.
, Assimilation
Considering everyone are the same under their racial or ethnic group.
Stereotype
Something recurrent that assumes that everyone has under the same racial or ethical group.
Archetype
Initiative to provide care to everyone with the goal to eliminate any disparities in care.
Culture competent care
Perception of own-ability to control nature or environment.
Environmental care
Are the genetics and physical aspects that makes use different.
Biological variations
Individual perception of health
Health belief system
- Scientific (Hospitals, clinics, medications, etc)
o Magico-religious= "alternative or indigenous" (supernatural forces of healing, rituals).
o Holistic= need for harmony and balance of the body with nature (yoga, meditation, etc.)
3 major health beliefs
- Monitor labs (albumin & pre-albumin determine malnutrition)
- Ensure proper intake of proteins (Proteins=Building blocks)
- Promote proper hygiene keeping the skin dry and clean
- Inspect skin daily
- Use moisturizers
- Encourage repositions every 1 to 2 hours, especially for chair or bed bound patients
- Apply pressure redistribution surfaces (mattresses, overlay, or gel pads)
- Use an EB screening tools (Braden scale, Norton, etc)
- Involved the patient and family in the education and care
- Use an interprofessional approach (nutritionist, physical therapist, occupational therapist,
wound care specialist, providers, etc)
- Add nutritional protein shakes
- Continue performing reposition, redistribution, hygiene, etc.
Interventions to relieve pressure and maintain skin integrity
- Assess and determine who is a higher risk
- Implement priority interventions based on the risk
o Teach patients to do active ROM exercises every 2 hours
o Assess and manage pain to promote more comfortable movement
o Teach patients to perform "heel pump" activities
o Drink adequate fluids to help prevent venous thromboembolism (VTE) such as deep vein
thrombosis (DVT)
o Evaluate the patient's need for assistive devices with the help of an Occupational