Treatment Options that Align with Ojibwa Culture
Assessment Description
Allied health professionals are confronted with different death and dying practices. An effective allied health professional recognizes the importance of understanding different cultural practices, and learns how to evaluate the death, dying, and spiritual beliefs and practices across the cultures.
Read the two specified case histories and choose one for this assignment.
Chapter 4, "Stories of Abby: An Ojibwa Journey" and Chapter 14, "Stories of Shanti: Culture and Karma," by Gelfland, Raspa, and Sherylyn, from End-of-Life Stories: Crossing Disciplinary Boundaries (2005), from the GCU Library.
Identify your role as a health care professional in supporting Abby's or Shanti's dying rituals, and in creating strategies for displaying respect while still providing quality care. Identify communication strategies necessary in caring for your select person. Integrate your strategies as you develop a care plan describing how you would approach the situation and care for the patient. Review the "Care Plan" template prior to beginning.
Include the following in your care plan:
Communication: family and patient
Treatment options that align with the specific culture
Education: family and patient
Family roles in the process
Spiritual beliefs
Barriers
Cultural responses
Any additional components that you feel would need to be addressed (from your perspective as a health care professional)
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
HLT-324V: Transcultural Health Care
Patient’s Name: ABBY Date: 10/20/2020
Patient’s Diagnosis: Alzheimer’s disease
Problems/Needs
(Include the date.)
Goals
Interventions/Actions
Discipline/Person Responsible
Outcome/Comments
(Initial and date.)
Communication: family and patient
10/10/2020
To effectively communicate with the family and Abby and prepare them for the death process.
Communicating effectively to Abby and her family would reduce the anxiety and stigma associated with death. Also, it would give the family a chance to interact and comprehensively talk about the good and bad memories of their life together. As a nurse, I would encourage them to openly talk about death and what Abby would have wished to be buried. Also, I would provide options available such as taking Abby to palliative care and IV feeding, and oxygen can be used. In addition, I would encourage conversation between the patient and the family to help them move on quickly after death. Also, as a practitioner, I would motivate the family and the patient about burial preparation to avoid conflicts like the case of Abby, Mary, and her siblings.
Nursing Practitioner (NP), Mary
The family would understand the process of death according to Ojibwas culture.
10/10/2020
Treatment options that align with Ojibwa culture
11/10/2020
To allow the family to provide any treatment related to Indian American culture to Abby.
As a nurse, I would encourage the family if they have a special treatment to go ahead and provide it. In Abby's case, I would give them the options of the medication and procedures to follow. In addition, I would not force or coerce them to accept modern medicines. Notably, I would also educate Mary on the pros and cons of using treatment based on culture and traditions and not following patients' wishes. Also, I would advise the entire family on the advantages and disadvantages of using IV feeding and oxygen. Finally, as a practitioner, I would bring the family together to ensure the end of life for their mother, Abby, is well received.
Nursing practitioner
The family would comprehend that the best treatment option for the patient is the one that aligns itself with the tradition and wishes of the patient.
12/11/2020
Education: family and patient.
10/10/2022
To help the family make the best end of life decision,
I would be clear and vocal to ensure the patient and family hear when communicating to facilitate effective decision-making. Also, I would avoid using euphemisms but instead use words like death and dying more often to prepare the family and the patient for death (Mitchell et al., 2018). Also, I would use language they are more conversant with to explain the nature of the disease and if further treatment is required. As in the case of Abby, one on one conversations with Mary helped her be placed in special care near her home, where she would see Abby every day. a
Nursing practitioner
The family will be more comprehensive about their patient's situation and make better decisions based on the education.
11/10/2020
Family Role in the process
13/20...
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