Reflective Notes

Topics: Urinary bladder, Urine, Hematuria Pages: 2 (652 words) Published: April 9, 2013
Importance opf communication: Culturally sensitive care:

Intro: Anywhere in the world, care is a basic and essential part of every therapeutic regimen, especially nursing care. But this care varies to different people because of individual differences or similarities between culture, beliefs, values, morals, and so on. Thus, it is really important that nurses must provide culturally relevant care to better serve the needs of the patient and at the same time promote faster recovery.  Howard (2004) supports this theory by defining valuing diversity as being aware of, sensitive to, and appreciating differences. The Department of Health (2004) explain valuing diversity within the NHS and determines the importance that health professionals recognise, respect and value difference for the benefit of the organisation and its patients. How to start e.g. A 44-year-old female patient, who is a native of Africa, recently came to the United States to join her son, who is a naturalized U.S. citizen. She does not speak English, but my clinic has a staff member fluent in her native language. Through this interpreter, the medical staff obtained a history of urinary bladder problems that have persisted for at least three months. After detailed questioning, I learned that her symptoms were chronic pain and frequent, urgent urination. Abdominal examination revealed only some suprapubic tenderness, and the patient refused a pelvic examination. A urinalysis showed that hematuria was the primary abnormality. The urinalysis did not suggest infection, and an infection would not account for the duration of symptoms. I considered interstitial cystitis, for which there is no consistently effective treatment, and in which blood in the urine does not usually occur. My concern was that the patient...
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