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Discussing an Event I Encountered with a Client.

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This essay is aimed at the discussing an interaction or event I encountered with a client in my work practice in which demonstrated understanding of culture as an aspect of care delivery. The name of the patient will be fictional so as to protect issues of confidentiality as per the NMC code of practice 2008.
Shiang et al (1998) cited in Mio and Iwamasa (2003) p.311 defined culture as a shared belief system, a set of values ,… symbols as well as preferred ways of behaving. Holland and Hogg (2010), p4 cited different definitions of culture and come in agreement that culture is an inherited or learned set of guidelines through which we come to know how to live in a social group or within society. Culture is the characteristics of a particular group of people, defined by everything from language, religion, cuisine, social habits. Whereas ………………………………….defines culture as highlights the important aspects of culture being ………………………….

The interaction of this essay is about my approached to Ahmed (not real name) who from my observation was putting on a lot of weight than necessities nursing interventions to help him manage his weight in addition; Ahmed has always been a practising Muslim with a strict religious diet but due to deterioration in his mental state, he had abounded his Halal diet and started even consuming pork products: hence my intervention. It is important to help Muslim patients maintain a Halal diet; according to (Holland and Hogg 2010) if Halal meat cannot be provided in hospital, vegetarian meal should be provided. Bear in mind those observations, I approached Ahmed to explore the reasons why he had decided to eat pork products and he was adamant that regardless of him being Muslim, it was his choice to determine what he eats and that I had no business restricting his diet.
Consequently, I drew a careplan that specifically made mention of his own choice in the matter, but with on-going review depending on any improvement registered in his mental state. Holland and Hogg (2010) identifies the importance of drawing strict boundaries of influence between genders in a Muslim background…………………..suggests that in such cultures, the male tend to be domineering and usually resent when females are giving them instructions or orders. When I approached Ahmed, it was evident that he did not want me as a female to appear to be giving him orders especially when it comes to his diet. However, I was able to explain to him that I was not ordering him to do one thing or another, and besides I had a duty of care to him as my patient, which he seemed to understand. The same problem seemed to be a hindrance when it comes to helping him determine and choose a healthy diet as he was putting on a lot of weight. Although I was able to convince him of importance of same, he insisted that what he eats is his business and I had no reasons to intervene.

It should also be noted Ahmed had abounded his strict Halal diet, which he was previously strict with. Holland and Hogg (2010) suggests that Muslims have to adhere to certain food restrictions in which Muslims should not eat pork or anything made from it or its products. In my interaction with Ahmed, I reminded him of his obligation not to eat pork and non-Halal products, but was adamant that he wanted to eat it because voices was telling him that pork cures headaches; besides, it was his choice to whatever he wanted. When I pointed out to him that his family would not be happy for him to eat non-halal products and that we might have to stop honouring his menu requests, we encountered this by saying he would withdraw all consent and co-operation for his Dr treatment.

There is another aspect of Ahmed’s care that was being affected by his deterioration in mental state: personal hygiene. Ahmed has previously maintained good personal hygiene, was having showers daily in addition to washing himself five times a day to observe his five daily prayers which every adult Muslim is required to do (Holland and Hogg 2010). Ahmed has refused all nursing interventions in respect of his personal care. Although he previously “got on well” with me, he now relieved that my offer to help him would constitute invasion in his privacy and dignity; and as a female nurse, he would not allow his modesty and nakedness to be exposed to anybody, more so of the opposite sex as it is distressing (Holland and Hogg (2010). However, with help of his named nurse who is male, I was able to convince him and he agreed to have a shower and let me change his bed linen. Ahmed has previously been a practising Muslims who strictly performed his five daily prayers as well as attending once weekly prayers, which take place on the holy day of Friday Holland and Hogg (2010)

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