Mââââââââââââââââââââââay 2012, Alice Randall wrote an article for The New York Times on the cultural factors that encouraged black women to maintain a weight above what is considered healthy. Randall explainedâfrom her observations and her personal experience as a black womanâthat many African-American communities and cultures consider women who are overweight to be more beautiful and desirable than women at a healthier weight. As she put it, âMany black women are fat because we want to beâ (Randall, 2012). Photo Credit: Getty Images Randallâs statements sparked a great deal of controversy and debate; however, they emphasize an underlying reality in the healthcare field: different populations, cultures, and groups have diverse beliefs and practices that impact their health. Nurses and healthcare professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity. In this Discussion, you will consider different socioeconomic, spiritual, lifestyle, and other cultural factors that should be taken into considerations when building a health history for patients with diverse backgrounds. Your Instructor will assign a case study to you for this Discussion. To prepare: ⢠Reflect on your experiences as a nurse and on the information provided in this weekâs Learning Resources on diversity issues in health assessments. ⢠By Day 1 of this week, you will be assigned a case study by your Instructor. Note: Please see the âCourse Announcementsâ section of the classroom for your case stuââââââââââââââââââââââdy assignment. ⢠Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient assigned to you. ⢠Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patientâs background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks. ⢠Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information? By Day 3 of Week 2 Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks. By Day 6 of Week 2 Respond on or before Day 6 on 2 different days to at least two of your colleagues who were assigned a different patient than you. Critique your colleagueâs targeted questions, and explain how the patient might interpret these questions. Explain whether any of the questions would apply to your patient, and why. Resources:
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