Signature Assigment

Cultural Diversity in Healthcare Signature Assignment

Case Study

Mr. Bernhard Wolfgang, a 56-year-old German immigrant who works as an engineer, is admitted with chest pain and shortness of breath. Mr. Wolfgang is admitted to the coronary care unit to rule out myocardial infarction. Immediately after admission, Mr. Wolfgang’s wife comes to the coronary care unit with personal items such as family portraits, some roses from the client’s garden, and some personal clothing. However, since the coronary care unit is restricted in space, personal items are not allowed, and the wife is instructed to take the items home. On admission, Mr. Wolfgang’s vital signs are stable and his color is good. He reports that the chest pain is not debilitating and is more or less an occasional dull ache. After 2 days, the diagnosis of myocardial infarction is confirmed, and Mr. Wolfgang remains restricted to bed but is transferred to a semiprivate room in the coronary care step-down unit. After admission to the coronary care step-down unit, the nurse observes that Mr. Wolfgang is anxious, somewhat withdrawn, and unable to express his needs and feelings.

Questions

· When assessing Mr. Wolfgang, the nurse should realize that some German people have specific needs that are related to territoriality and space. Name at least two factors that affect some Germans and their spatial behavior.

· List ways the nurse could enable Mr. Wolfgang to meet his needs for privacy and autonomy while in a semiprivate room.

· Identify markers that would indicate Mr. Wolfgang’s need for the establishment of a temporary territorial space.

· Identify ways in which illness and hospitalization could threaten Mr. Wolfgang’s personal sense of territoriality.

· Identify factors present in a coronary care unit that could negatively affect spatial behavior.

· List two factors related to perceptual and visual stimuli that adversely affect some German clients.

· List ways the nurse could control perceptual and verbal stimuli that may affect Mr. Wolfgang.

· Reflect on what you learned from the assignment and how it will impact your practice in the future.

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