ETHNIC, RACIAL AND CULTURAL ASSIGNMENT
Choose from ONE of the following case studies.
Review the ETHNIC, RACIAL AND CULTURAL CONSIDERATIONS Handout before completing this assignment
Bullet each answer below:
a. Which Ethnic model might work best for you and why?
b. What are some nursing implications?
c. What are some important points to consider as the DNP?
d. What might be some valuable resources?
Use 4 or more scholarly references no older than 2020 in APA 7 format.
Case Study 1 – African American
Mrs. S. is a 52 year-old African American woman from a rural town in east North Carolina. This area has a history of having had the highest population density of enslaved Africans brought to the United States as plantation labor. The culture of this area includes strong West African traditions, customs and beliefs from a number of different ethnic groups. Mrs. S.’s daughter brings her to a women’s health clinic because her mother has begun to lose her appetite and lose weight. The nurse takes a family history at the initial visit and learns that Mrs. S’s mother died in her late 40’s from a cancer tumor “that spread quickly to all parts of her body.” Mrs. S. has a sister who lives in Charlotte, North Carolina who is currently being treated for breast cancer at age 48 years. Mrs. S.’s sister has had genetic testing for hereditary breast/ovarian cancer and has been found to have a mutation in one of the BRCA genes. Mrs. S’s daughter tells the nurse that she is concerned about her mother and the possibility of breast cancer in her, but her mother has been reluctant to seek care. Mrs. S says that she is afraid of doctors because “they cut into my mother and when the cancer hit the air it spread all around her body and killed her.” Mrs. S explains that she is only at the clinic “because my daughter insisted.” She says she believes that if she continues her prayers and the laying on of hands by the elders in her church she will be cured. If she is not cured, Mrs. S tells the nurse then it is time for her to pass from the evils of the world to another place to join her mother.
Describe how you would assess the client’s culture, cultural understanding of genetic testing, information or condition to create a plan for providing culturally competent care in this situation.
Black or African American Populations: https://www.cdc.gov/minorityhealth/index.html
Psychosocial Issues in Inherited Breast Cancer Syndromes http://www.cancer.gov/cancertopics/pdq/genetics/breast-and-ovarian/HealthProfessional/page4
Provider’s Guide to Quality and Culture: https://innovations.ahrq.gov/qualitytools/providers-guide-quality-culture
Case Study 2 – Alaskan Native
Mr. N. is a 59 year-old Alaskan Native who lives alone in a small community. His sister has moved to Washington State. His niece, Mrs. R lives in the same community and visits Mr. N often. Mr. N does not go to the doctor unless he is really sick. When he does he goes to the Indian Health Service nearby. Recently Mrs. R has become concerned about Mr. N as he is not outside working in his garden as much as he used to. Mrs. R visits him one day and expresses her concern. Mr. N tells her that he is thirsty all of the time and feels “weak.” Mrs. R invites Mr. N to come with her on September 16th to a community program, “Take a Loved One to the Doctor Day.” Mr. N is reluctant to go at first, but finally agrees. When he meets with the nurse practitioner, she reviews his family history. He tells her that he has been feeling poorly lately with increased thirst and fatigue. He says that he saw these same problems in his mother and grandfather when he was younger. His mother died from diabetes and kidney failure and his grandfather became blind as a result of diabetes. One of his uncles had to have an amputation of his leg because of diabetes. Mr. N. says that he doesn’t really want to do anything right away before meeting with the community healer who has taken care of his relatives in the past.
Describe how you would assess the client’s culture, cultural understanding of genetics, information or condition to create a plan for providing culturally competent care in this situation.
American Indian & Alaska Native (AI/AN) Populations https://www.cdc.gov/tribal/data-resources/health-disparities/index.html
https://www.cdc.gov/mmwr/volumes/67/wr/mm6747a4.htm
Diabetes Statistics: https://www.cdc.gov/diabetes/library/features/diabetes-stat-report.html
Native American and Diabetes: https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=4&lvlid=33
https://www.ncbi.nlm.nih.gov/books/NBK233089/
Case 3 – Hispanic/Latino
Mrs. L is a 25 year-old Hispanic woman who has just delivered her first baby (a boy). She has a history of having had several miscarriages before having her son. She and her family are thrilled that she has been able to carry her pregnancy to term. She was cared for during her pregnancy and delivery by a midwife – partera. The birth was in a local hospital with her mother and sister in attendance. Mrs. L attended a prenatal clinic during the last three months of her clinic because of high blood pressure. During the first 24 hours, the nurse and pediatrician in attendance notice that the baby has upslanting palpebral fissures, low set ears, a thickened nuchal fold and somewhat low tone. They are concerned that these features may indicate that the baby has Down syndrome.
Describe how you would assess the client’s culture, cultural understanding of genetic testing, information or condition to create a plan for providing culturally competent care in this situation.
Hispanic or Latino Populations https://www.cdc.gov/diabetes/ndep/communities/hispanic-latino-american/resources.html
Cultural Groups: Hispanics/Latinos https://www.cdc.gov/healthcommunication/pdf/audience/audienceinsight_culturalinsights.pdf.
Down Syndrome (Trisomy 21) https://www.cdc.gov/ncbddd/birthdefects/features/racialethnicdifferences.html
