-Evidence shows that many Hispanic patients report significantly higher rates of pain, numbness, cognition difficulties, vomiting, and severe sadness than non-Hispanics. Knowing this information I would make sure to discuss and allow my patient to verbalize her feelings regarding her diagnoses, pain control, and other physical ailments that may be bothering her.
-I would provide emotional support regarding her recent mastectomy and allow my patient time to verbalize her feelings towards this loss
I would respect my patient’s wishes regarding involving her family in her plan of care or not involving them if that is her wise.
I would begin by making sure I obtained a thorough history and examination. I would focus on areas that will be specific to providing this type of patient care (oncology and chemotherapy).
- Assess the clients physical symptoms, psychological well being, and their goals and priorities.
-Assess the patient and family for verbal and nonverbal behaviors. Look for indications regarding anxiety, fear, grieving, powerlessness, caregiver burden, and depression.
-A low hemoglobin (8.5) and low hematocrit (25%) and low RBC’s may affect my patient by her exhibiting a faster than normal heartbeat, fatigue, feeling short of breath, lack of energy, and pale skin and gums.
-Providing an encouraging and open environment for the patient while remembering that a cancer diagnoses can be very scary.
-Value the hispanic culture and encourage the patient to incorporate their beliefs and cultures in their healthcare.
-Provide an environment where the patient is able to express preferences, needs, and values in their healthcare.
-Respect the patients wishes towards involving their family in their healthcare. Emphasize shared-decision making while empowering the patient and family.
-When assessing my patient’s pain I would be sure to use a universal scale in order to achieve the best