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Mrs. G's Case Study: Client-Centered Culturally Competent Care

 

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Mrs. G's Case Study: Client-Centered Culturally Competent Care

The nursing profession involves extensive interactions with clients, many of whom stem from different cultural and experiential backgrounds. The following assessment provides Mrs. G's case, emphasizing the nature of client needs and the importance of maintaining respect and best practices in cross-cultural interactions.

1.How would you best describe Mrs. G.'s feelings about her life, her family, her traditions, and her future?

Mrs. G is a nostalgic person and currently lives a lonely life following the demise of her husband. She feels as though her life is hopeless and has no purpose following the death of her husband but refuses or is oblivious of her loneliness. She is not physically close to her children, given that they live in either towns or states apart from one another. Moreover, she may harbor resentment toward her children for deciding to put her in an assisted living facility without consulting her. Mrs. G is also close to her traditions as a Hispanic woman, owing to her beliefs on the man's role and the presence of her husband as a loving, caring, and outgoing persona that lit her life. She appears lost without her husband's presence and does not seem to have strong social support outside her relationship with her husband. She is also not hopeful about her future without her husband and would rather stay in their house reminiscing than go to an assisted living facility.

2.Did Mrs. G.'s response to her daughter surprise you? Please explain your answer.

Mrs. G's response to her daughter is not surprising, given the context with which the proposal for enrolment in an assisted living facility is presented to her. First, Mrs. G is an observer of her tradition, which expects wives to be at home and serve the need of the home to make it a welcoming place. Such an attitude is evident when she welcomes the nurse with whom she has made friends. Second, Mrs. G's home serves as a sanctuary of memories of her life with her husband and family, owing to her living there for approximately 35 years. She has fond memories of her husband and the place as home and cannot willingly give it up at a single request from her daughter. Third, Mrs. G's daughter and other children decide without consulting her and only present the idea to her after decision-making. Thus, she becomes defensive since she perceives this as an intrusion into her life.

3.In what way do you believe her culture might be influencing her decision?

Mrs. G's culture as a Hispanic woman places her in various positions that might be influencing her decisions. In particular, a Hispanic wife believes she must maintain the home, a factor that requires her presence at home. She continually invites the nurse and seeks to preserve her home because she sees it as the central point in her life, which informs her identity. Mrs. G's Hispanic culture also celebrates life after death, especially with ceremonies like the Day of the Dead CITATION Kor20 \l 1033 (Kori, Tuma, Lopez, & Rodolfo, 2020). Thus, she believes that her husband's presence is in the house and seeks to remain connected to him, informing her decision to stay in the house. It is also worth appreciating that she is significantly older than her children and has authority in her decision over the proposals of her children. Thus, she feels she is morally superior to determine where to stay rather than receiving instructions from her children.

4.If you were Mrs. G.'s daughter, what would you say to her that shows you are caring and have compassion for her situation? What nonverbal communication would support that level of communication?

Mrs. G's daughter must put a convincing argument to her mother to persuade her to relocate to the assisted living facility. First, she can reference the need for Mrs. G to receive round-the-clock attention and support in terms of social protection and a chance to make friends. She can reiterate that Mrs. G will interact with the nurse daily if she relocates to the facility. Mrs. G's daughter can also explain to her mother that living at home alone is dangerous, given the frequent falls over the past few months. She may also explain to her mother that living alone in such a setting is lonely and propose various options and perks to living with other people of advanced age. She may explain that she, alongside her siblings, will visit her more often to check on her progress and take her out to enjoy activities like her ordinary life. Moreover, Mrs. G's daughter can use non-verbal cues to signify her appreciation of her mother's feelings, such as putting on a sad face when recalling her father's death. She can smile and gesture when explaining the perks of living at the facility while talking in a calm and explanatory tone rather than demanding or complaining CITATION Ale21 \l 1033 (Alexandrache, 2021).

5.Suppose Mrs. G. stands firm about not leaving her house. What resources and collaborations might be available and helpful so the daughter and other healthcare providers can keep her mother safe and make the most effective decision?

Mrs. G can benefit from a myriad of resources that would assist her in living in the house comfortably and safely. One resource that would help Mrs. G is a fall alert device, which would notify the healthcare providers whenever she falls. The device would allow for quick response to ensure that she remains safe, especially at night when reaching a phone might be challenging for her CITATION Riv17 \l 1033 (Rivaz, Marzich, Yektatalab, & Ebadi, 2017). Mrs. G can also benefit from daytime or full-time nursing resource who will administer proper care to her for falls or other issues and provide a social support component. The approach will ensure that the healthcare facility keeps tabs on her whereabouts and health, whereas her daughter remains certain of her mental state. The option of a full-time nursing service will only be viable if her falls persist because of the need to give her space, which she may want, given her connection of the house to her husband. Other forms of support, such as home deliveries for food and household stuff and personal chores assistance, will help make her life easier than the current status CITATION Riv17 \l 1033 (Rivaz, Marzich, Yektatalab, & Ebadi, 2017).

 

 

 

 

 

 

 

 

 

 

 

 

 

References

 BIBLIOGRAPHY Alexandrache, C. (2021). Non-verbal communication and intercultural dialogue- an educative perspective. New Trends and Issues Proceedings on Humanities and Social Sciences, 8(2), 20-26. Retrieved from https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&cad=rja&uact=8&ved=2ahUKEwjn1qD03fbzAhUNx4UKHRrTDwcQFnoECAUQAQ&url=https%3A%2F%2Fun-pub.eu%2Fojs%2Findex.php%2Fpntsbs%2Farticle%2Fview%2F6186&usg=AOvVaw1MvIGYS4l8BJCrI2Y2JOhU

Kori, R., Tuma, R., Lopez, O., & Rodolfo, J. (2020, September 29). How the Day of the Dead id Celebrated. Chicago Tribunes. Retrieved November 17, 2020, from https://www.chicagotribune.com/news/ct-day-of-the-dead-altar-diagram-spanish-english-20151029-htmlstory.html

Rivaz, M., Marzich, M., Yektatalab, S., & Ebadi, A. (2017). Adequate Resources as Essential Component in the Nursing Practice Environment: A Qualitative Study. Journal of Clinical & Diagnostic Research, 1-4. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5535389/