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Adaptive Nurse Patient Dichotomy

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1. Describe where/how you have experienced the impact of socioeconomic status and/or culture on health behaviors?
As a home health nurse, I visited patients in their home, and the way people choose or are able to live reflects socioeconomic status and health behavior. I observed first hand a spectrum of poor individuals living in subsidized housing and surviving on meals on wheels, and affluent individuals living in high-rise condos with the ability to shop at natural food markets. The dichotomy overwhelmed me to have an unbiased approach to every individual patient. Garcia (2005) reflects how it is difficult for low socioeconomic status impacts the ability to eat a healthy diet. This was observed in the person’s dependent on meals on wheels …show more content…
Cole and Stewart (2015) present a useful assessment tool to enhance the nurses’ understanding of the patients’ priorities. The LIAASE tool, provided the assessment in categories; learn, Inquire, avoid polarization, avoid arguing or defending and show empathy. Cole and Stewart (2015) “nurse practitioners must respond to the unique and distinct needs of the diverse and ever- changing society” (p.127). The adaptive nurse practitioner (NP) responds to the unique needs of the individual’s unique factors which influence health. In addition, the ability to communicate is essential for the nurse patient relationship (DiMatteo, 2004). Communication involves speaking in a language the individual can understand. McCarthy, Cassidy, Graham and Tuohy (2013) “Formal interpreters are expected to be educated regarding medical terminology and to understand the ethical dimensions and interpersonal dynamics within cultural communication” (p. 336). Informal interpreter such as family members may not be equipped to translate medical terminology accurately. McCarthy, Cassidy, Graham and Tuohy (2013) suggest in addition to using interpreter services when needed, the provider can have conversations with the interpreter to increase understanding of the patient’s cultural

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