Briefly introduce a person you have recently cared for in your nursing practice. Discuss the person’s view of the cause of their health condition, the person’s health literacy, and the person’s identity on the continuum of privilege-disadvantage (Table 4 in the Lor article on p. 361). What was (or would be) your approach to care for him/her in a culturally competent way?
Introduction:
In my nursing practice, I recently cared for a patient named Mr. Smith (pseudonym) who was diagnosed with type 2 diabetes mellitus. Mr. Smith is a 55-year-old African American male who has a history of obesity, sedentary lifestyle, and a family history of diabetes. During my interactions with Mr. Smith, I gained insight into his views on the cause of his health condition, his health literacy level, and his position on the privilege-disadvantage continuum.
Views on the Cause of Health Condition:
Mr. Smith attributed his diagnosis of type 2 diabetes to a combination of genetic factors and his own unhealthy habits. He expressed his belief that a family history of diabetes predisposed him to develop the condition, but he also acknowledged that his sedentary lifestyle and poor eating habits played a role. Mr. Smith recognized his responsibility in managing his health and acknowledged the need for lifestyle changes to better control his diabetes.
Health Literacy:
During my conversations with Mr. Smith, it became evident that he possessed a moderate level of health literacy. He demonstrated a basic understanding of diabetes, including the importance of blood glucose monitoring, medication adherence, and dietary modifications. However, he lacked comprehensive knowledge about the potential long-term complications of uncontrolled diabetes and the significance of regular follow-up appointments with healthcare providers. Mr. Smith expressed a willingness to learn more about diabetes management and was receptive to education and support.
Identity on the Continuum of Privilege-Disadvantage:
In analyzing Mr. Smith’s identity on the privilege-disadvantage continuum (Table 4 in the Lor article), it is essential to consider various factors such as race, socioeconomic status, education level, and access to healthcare resources. As an African American male, Mr. Smith faces disadvantages associated with racial health disparities, higher rates of obesity, and limited access to quality healthcare. Additionally, his lower socioeconomic status and limited educational opportunities further contribute to his position on the continuum, indicating a higher level of disadvantage.
Approach to Culturally Competent Care:
To provide culturally competent care to Mr. Smith, several strategies can be employed to address his specific needs and circumstances.
1. Recognize Cultural Influences: Acknowledge Mr. Smith’s cultural background, experiences, and beliefs. Understanding the impact of race and socioeconomic factors on health disparities can help inform the approach to care.
2. Build Trust and Establish Rapport: Develop a trusting and therapeutic relationship with Mr. Smith by actively listening and valuing his opinions and experiences. This will create an environment conducive to open communication and shared decision-making.
3. Individualize Education: Tailor health education to Mr. Smith’s health literacy level and learning preferences. Utilize visual aids, culturally appropriate materials, and clear language to promote understanding and retention of important health information.
4. Address Barriers to Healthcare Access: Identify and help overcome barriers that impede Mr. Smith’s access to healthcare services, such as financial constraints, transportation issues, or lack of health insurance. Collaborate with social workers or community resources to provide assistance and support.
5. Incorporate Family Involvement: Recognize the influence of the social support network on Mr. Smith’s health outcomes and involve his family members in his care. Encourage open communication, active participation, and the adoption of healthy lifestyle changes as a family unit.
6. Advocate for Resources: Advocate for Mr. Smith to ensure equitable access to healthcare services, including specialist consultations, diabetes education programs, and community resources. This may involve collaborating with healthcare team members and utilization of referral networks.
Conclusion:
Caring for Mr. Smith with cultural competency requires a comprehensive understanding of his views on the cause of his health condition, his level of health literacy, and his position on the privilege-disadvantage continuum. By recognizing his unique needs, building trust, individualizing education, addressing barriers to healthcare access, involving his family, and advocating for resources, a culturally competent approach to care can be provided. This will promote effective diabetes management and empower Mr. Smith to achieve improved health outcomes.