Advanced Patient Care
Responses to peers or faculty should be 100-150 words and include one reference.
COMMENT 1:
The ideal course of patient education to provide to Sister Mary as she progresses from department to department is to begin providing information after introductions are made. She would also be asked how she would like to be addressed. An assessment would be performed to determine what her level of learning may be so that any medical education provided may be tailored to her level of comprehension. In order for patient teaching to be effective, health care professionals must consider the cognitive aspects of patient teaching (Falvo, 2011).
Information and education on the first step of her exam would be provided and explained to her and would be followed up with answering any questions she may have. As the exams progress into other exams, education on each procedure would be provided to her. She would be encouraged to ask the medical staff any questions and express any concerns at anytime during the process of these examinations. For her physical assessment, I would ask for her preference of having a female provider perform this examination. Taking into consideration of any modesty she may have, she will be allowed her preference for a female provider. Finally, I would inquire if she had any need of spiritual services and if she would like a visit from the clergy. As health care workers, we are obligated to ensure the physical, spiritual, and psychological needs of the Catholic patient are met (Catholics in Healthcare, n.d.).
COMMENT 2:
The patients that we care for on a daily basis come from diverse religious and spiritual backgrounds. Religion and spiritual beliefs or practices play an important role in healthcare. It is good to understand that the patient is a Roman Catholic nun when providing care and transitioning through different departments. Patient education plays a role in health care since it helps the patient to understand the medical and nursing procedures, treatment, disease processes, and management (Falvo, 2011). Despite the differences in religious backgrounds, all the patients must be treated with dignity and respect based on their religious beliefs. The provides involved in Sister Mary’s care must be spiritually and culturally sensitive to promote her comfort and create rapport. Besides, we will address her personal concerns or interests to promote compliance and make her comfortable. Sister Mary might prefer being attended by a female nurse due to her religious practices.
Education would start with enlightening Sister Mary about her general wellbeing before proceeding to the impending procedures that she is scheduled to undergo. It is essential to empower the patient with the basic knowledge of her health status and then introduce more complex topics once she is comfortable with the provider. In addition, the education will focus on physical assessment followed by a neural examination. These are simple procedures that we need to start with. Patient education will then shift to radiographs of the facial bones and a CT of the head. This approach would help in introducing patient education progressively to prevent alarming her. I will also inform Sister Mary that her treatment and management will be based on the results of the diagnostic tests and procedures.
COMMENT 3:
The nurses’ responsibility is to educate patients because it enlightens them on improving their health (Malhotra et al., 2023). The patient’s involvement in their care enhances their participation in interventions that can raise the chances for positive outcomes. Nurses educate patients of different cultures, ethnicities, ages, socioeconomic statuses, and life experiences. Thus, nurses must consider the status differences among their patients and respect them. On the other hand, it is always advisable for nurses not to incorporate their beliefs into the patients because, in most cases, patients and nurses do not hold the same opinion.
In the case of Sister Mary, her religion should be considered in the process of educating her. By doing this, the nurse will build a trusting relationship with her. The nurse should be keen to address issues contradictory to the nun’s religious inclination. For example, our institution cannot administer marijuana as a pain management drug because we know that patients will refuse it, as they consider it a hard drug. Essentially, all matters arising due to the treatment should be well explained to the nun, and her consent given for any procedures undertaken by the nurse as outlined by the Roman Catholic Church.
With all the considerations, the nurse is to choose a strategy to educate, such as engaging the nun with simplicity and avoiding jargon that could prevent her from understanding the medical information being relayed ( Falvo, 2011). While being simple in educating, the nurse can invite the views and propositions of the nun regarding the nurse’s teaching. It will be helpful for the nurse to read the beliefs of the Roman church regarding medicine to give her an upper hand when educating the nun and to enable him to apply contexts that will not contradict the beliefs of the nun.
COMMENT 4:
Sister Mary is a Roman Catholic nun who requires multiple diagnostic procedures in a Level 2 Emergency Department. It’s essential to approach her care with respect for her religious beliefs and practices. This can help the patient feel comfortable and respected throughout her treatment process. Clear and concise communication is necessary. Sister Mary should be informed in simple, understandable language about each step of her hospitalization and the procedures she will undergo. This includes allowing her to ask about the neural examination, physical assessment, radiographs of her facial bones, as well as the computed tomography scan of the head. Explaining the process and rationale for each procedure can help alleviate any anxiety or fears she may have about the tests. An important factor is understanding and accommodating any specific religious practices or needs Sister Mary may have. Spiritual care is intended to bring relief to them by responding to their spiritual needs. Spiritual care improves the quality of life of patients, satisfaction with medical care and even prevents or alleviates the negative psychological consequences of hospitalization. (Wiktor, 2021) For example, if Sister Mary wishes to have a moment of prayer before undergoing any procedure, the medical staff should facilitate this in a respectful manner. Because many patients turn to their beliefs when difficult healthcare decisions are made, it is vital for healthcare professionals to recognize and accommodate the patient’s religious and spiritual needs. Health professionals should provide an opportunity for patients to discuss their religious and spiritual beliefs and tailor their evaluation and treatment to meet their specific needs. (Swihart et al., 2023) Her comfort with the physical aspects of the medical procedures, such as the exposure required for certain scans, should be discussed, addressed and managed if required. Providing options for female healthcare providers and ensuring privacy during physical assessments and changes of clothing can help maintain her dignity and comfort.
COMMENT 5:
Healthcare professionals might have several reservations when working with Sister Mary due to psychosocial factors. They may worry about offending her religious beliefs, leading to anxiety about providing respectful care. Concerns about effectively communicating complex medical information in a way that aligns with her religious context can also cause stress.
Additionally, professionals might have preconceived notions or biases about religious individuals, impacting their ability to provide unbiased care. Providing holistic care that addresses both spiritual and medical needs can be emotionally taxing, leaving some feeling unprepared or overwhelmed by the extra emotional support required.
Time constraints also pose a challenge, as addressing comprehensive needs can require more time and effort, raising concerns about time management and the ability to provide thorough care within limited timeframes.
These reservations highlight the importance of training in cultural competence, effective communication, and holistic care to equip healthcare professionals to manage such situations compassionately and effectively, ensuring that patients like Sister Mary receive respectful, comprehensive care.
COMMENT 6:
Some people get intimidated when working or being in the company of religious leaders, such as ministers, pastors, or nuns like Sister Mary who hold to their vows of poverty, chastity and obedience very seriously. This may cause some reservations or hesitations in working with her because they feel they may say or do the wrong things in their presence. Male nurses may not want disrespect her vows while doing their job. To conduct patient teaching effectively with people from different cultures, health professionals must be willing to alter their own behavior, attitudes, and communication styles and to examine their own biases and stereotypes (Falvo, 2011). Psychosocial risk factors can lead to work-related stress such as sleep disturbances, upset stomach, and headache, as well as compromised relationships with family and friends (Global CSP, 2024). Nurses must put aside their feelings and thoughts of that person and provide quality care to the patients. Nurses are trained to remain unbiased but it is as important for them to take time for self-care so they can provide quality care for patients.
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