NU 650 Discussion
Rico is a 72-year-old male who reports to the hospital unaccompanied. Rico is a Hispanic hailing from New Jersey and is the first time visiting this facility. The patient has relevant comprehension and proficiency in English, though his native Spanish language impacts his pronunciation. Rico has a history of hypertension, diabetes, and colon polyps. Rico also reports a persistent dry cough that has lasted for three months. The patient is worried about the persistence of the dry cough and reports having been using warm lime juice treated with honey. However, the cough has remained, and the state has not improved.
Patient care is sensitive to various demographic factors necessitating their considerations when treating patients. According to Rababa et al. (2022), understanding patient demographics is instrumental in ensuring the equality and quality of services. Several aspects of Rico’s case will influence treatment, nursing intervention, and outcomes. Age, language, and cultural background influence the provider-patient relationship and health assessment. Age is an instrumental consideration impacting the provider-patient relationship in aspects like understanding and collaboration during treatments (Peck, 2011). According to Wyman et al. (2018), ageists require a higher degree of attention to ensure their healthcare demands are met by ensuring their values are appreciated during treatment administration. Therefore, the nurse or practitioner attending to Rico must develop an interaction style focused on patient contention. The approach should ensure the provider derives all instrumental details to assist in treatment. Henceforth, the provider must ensure they capture all details relating to a patient’s health condition. Elderly patients demand the healthcare provider allocate attention to demonstrate their care and concern, which will prompt collaboration and adherence to treatment from the patient.
Culture is an aspect that impacts the reception and reaction individuals have towards healthcare services. Rico’s culture and ethnicity will influence the provider-patient relationship during health assessment. According to Samper-Ternet et al. (2022), Hispanics represent one of the most underrepresented ethnic groups in the United States of America (USA), and their unique cultural attributes influence their health demands and priorities. The provider attending to Rico must establish trust for an effective provider-patient relationship. Hispanic culture values “personalismo” necessitating building a relationship grounded on mutual trust and respect (Samper-Ternent et al., 2022). The provider must value this integral concept of Hispanic culture and ensure Rico feels valued and appreciated. The provider must focus on details and value perceptions expressed by the patient to enhance relationship building. This approach will develop a patient-centered approach to treatment critical in realizing personalismo.
Cultural and ethnic differences will also impact communication effectiveness between the provider and the patient. English comprehension and fluency will be impactful in determining the understandability of patient treatment. Rico has considerable comprehension of the English language. Though his speaking or fluency is distorted because of his native Spanish accent, the provider will be able to comprehend the explanations put forward by the patient.
References
Peck, B. M. (2011). Age-Related differences in Doctor-Patient interaction and patient satisfaction. Current Gerontology and Geriatrics Research, 2011, 1–10. https://doi.org/10.1155/2011/137492
Rababa, M., Al-Sabbah, S., & Hamad, D. B. (2022). Demographic data differences in perceived control over nursing practice among nurses caring for nursing home residents. Dementia and Geriatric Cognitive Disorders Extra, 12(1), 1–5. https://doi.org/10.1159/000521284
Samper-Ternent, R., Tinetti, M. E., Jennings, L. A., Wong, R., Arney, J., & Naik, A. D. (2022). Better care for older Hispanics: Identifying priorities and harmonizing care. Journal of the American Geriatrics Society, 70(6), 1889–1894. https://doi.org/10.1111/jgs.17748
Wyman, M. F., Shiovitz-Ezra, S., & Bengel, J. (2018). Ageism in the health care system: providers, patients, and systems. In International perspectives on aging (pp. 193–212). https://doi.org/10.1007/978-3-319-73820-8_13
NU 650 Discussion
Value: 100 points
Due: Create your initial post by Day 3. Reply to at least two of your classmates by Day 7.
Gradebook Category: Assignments: Discussions/Journal
Please refer to the Grading Rubric for details on how this activity will be graded.
The described expectations meet the passing level of 80%. Students are directed to review the Discussion Grading Rubric for criteria that exceed expectations.
Objective
The purpose of this discussion is to consider how individual factors can impact the health assessment. These factors include but are not limited to age, gender, mental health, literacy, disability, and culture. Students will discuss the impact of individual factors on the assessment and then collaborate on strategies to adapt the environment and assessment techniques to best facilitate the provider-patient relationship and data collection.
**Please note the following:
- Scholarly sources include current peer-reviewed sources, practice guidelines from professional organizations, and databases used for clinical decisions making (such as UpToDate). Your course materials, textbooks, and websites do not count as scholarly sources.
- In order to obtain full credit, you must interact on more than three days. Posting your initial post and each peer post on a different day for three days total is only an 8/10 for this section of the rubric. An additional post that is substantive and adds to the conversation (not just “I agree” or “nice work”) is required to get 10/10 in this area of the rubric.
- A 100 in the discussion means you have exceeded the minimum requirements and the faculty does not have any suggestions for room for improvement for you.
Initial Post
Create a patient who has presented to the office for a health assessment as a new patient. Provide the demographics of the patient and background that includes factors that impact their care. Please then discussion how the age and these other individual factors have the potential to impact the provider-patient relationship and the health assessment (both subjective and objective findings).
These individual factors may include any factor that has the potential to impact the relationship or the assessment. Examples are age, gender, mental health, literacy, disability, culture, and language.
Example:
J is a 2-year-old female who is brought in by her grandfather for ear pain. She is new to the practice. J and her grandfather are from Burma and her grandfather speaks minimal English.
I would then go on the describe how J’s age, the language barrier, and her culture could impact the provider-patient relationship and the health assessment.
Your initial post should use at least three scholarly sources to support your description of how the relationship and/or assessment may be affected.
Response Posts
Please respond to a minimum of two peers’ initial posts. Your reply post should include strategies for adapting the environment and the health assessment techniques in order to best facilitate the provider-patient relationship and an effective health assessment. Each reply post should include at least two scholarly sources to support your suggested strategies.