Hispanic descent admitted on the Medical-Surgical Unit.
You are assessing a 33-old female of Hispanic descent admitted on the Medical-Surgical Unit. She has been diagnosed as having hypertension, obesity, and depression. She is divorced and has four children ages 15, 12, 8 and 4, and she is currently unemployed and receiving governmental assistance. She does not speak English very well and has no health insurance. She describes her religion as Catholic.
What family and nursing theory or theories would be best utilized to properly assess this patient. Why?
(be sure to include at least one nursing theory and one family theory. Keep in mind that theories should complement each other.)
What approaches would you use to provide culturally sensitive care to this patient?
A. To assess this 33-year-old Hispanic woman, I would employ Bowen’s family systems theory and Leininger’s transcultural theory. The Bowen family systems theory represents the best approach. Her obesity, hypertension, and depression can significantly impact how other family members feel, think, and conduct themselves. Bowen’s family systems theory considers the family as an emotional unit, and the numerous interconnections within the family are described by systems thinking (Couto et al., 2018). By their very nature, families are deeply emotionally linked, and one member’s sorrow can severely impact these connections and relationships. The patient and their family members may be influenced by their treatment, so the entire family system should be considered.
Different cultures have distinct ways of understanding, providing healthcare, knowing, and anticipating receiving care (Marilyn et al., 2019). To foster compliance, well-being, and healing, patient care should provide culturally tailored therapy and manage the patient and family as a system. The transcultural theory holds that empathy, compassion, and culture are strongly linked.
B. One should start by obtaining an experienced interpreter. Because the patient is Hispanic, a competent translator will be of the highest help to ensure that the client knows and understands the care offered. I could approach this patient courteously, attentively, and curiously, and I would query about the patient’s social identity, culture, and intentions for their care.
As the assessment advances, I would ask them about their history of mental illnesses while making careful and accurate notes of their disease symptoms and maintaining an eye out for mood changes. I would start with open-ended inquiries before moving on to more focused investigations. In learning from the patient and assisting the patient in receiving better care, I must approach the client neutrally and clarify why I want to know detailed information, such as any ideas of self-harm.