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Exam (elaborations)

Rasmussen College MDC 1 Exam 1 (Spring 2024/2025) Already Passed!!

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Rasmussen College MDC 1 Exam 1 (Spring 2024/2025) Already Passed!! 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 Therapist to promote ADL independence (plate guard or splint, canes, walkers) o Encourage ambulation by collaborating with physical therapist. Interventions to promote mobility Arises from burning your skin like on a hot iron or from touching a hot pan on the stove Cutaneous pain Caused from deep internal disorders such as menstrual cramps, labor pains, or gastrointestinal infections Visceral pain Originates from the ligaments, tendons, nerves, blood vessels, and bones. Examples would be fractures or sprains Deep somatic pain Starts at an origin but extends to other locations. Example: pain from a sore throat might extend to ears and head. Radiating pain Occurs in an area distant from the site of origin. Example: pain from a heart attack might be felt in the left arm or jaw Referred pain Pain that is perceived from an area that has been surgically or traumatically removed. Example: pain from an amputated limb. Phantom pain Results from an injury of one or more nerves Neuropathic pain Short duration, rapid onset, and associated with some kind of injury. Acute pain Last 6 months or longer and interferes with activities of daily living. Chronic pain when one ignores the differences and proceeds as though they do not exist. Cultural blindness care is planned and implemented in a way that is sensitive to the needs of individuals, families, and groups from diverse populations within society. Cultural competence people of varying cultural background, racial and ethnic origin, religion, language, physical size, gender, sexual orientation, age, disability, socioeconomic status, occupational status, and geographic location. Cultural diversity the belief that everyone else should conform to your own belief system. Cultural imposition a shared system of beliefs, values, and behavioral expectations that provides social structure for living; shapes what is acceptable behavior for people in a specific group; learned by each new generation; may evolve over time; influences the way people of a group view themselves, have expectations, and behave in situations. Culture occurs when people become aware of culture differences, feel threatened, and respond by ridiculing the beliefs and traditions of others to make themselves feel more secure about their own values. Culture conflict the feelings a person may experience when placed in a different culture perceived as strange. Culture shock the belief that the ideas, beliefs, and practices of one's own culture are superior to those of another's culture Ethnocentrism based on specific physical characteristics such as skin pigmentation, body stature, facial features, and hair texture. Race A large group of people who are members of the larger cultural group but who have certain ethnic, occupational, or physical characteristics that are not common to the larger culture. Subculture a nurse that has the knowledge and skills to adapt nursing care to cultural similarities and differences. Transcultural nursing · Close & supportive extended-family relationships · Family, unity, loyalty, and cooperation are important. · Usually matriarchal · Present oriented · Highly respected members · Highly religious Use folk healing practices and home remedies for treating illness African American · Welfare of family is valued above the person. · Extended families are common.

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