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Effectiveness of cultural competency in patient care essay
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Essay on cultural competence in healthcare
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Culture change in long-term care is a set of guiding principles based on person-centered care tailored to each elder’s care while treating them with dignity and respect. Core values include relationship, personal choice, self-determination, and purposeful living (“Defining Culture Change”, n.d.). In person-centered care, quality of life is recognized to be as important as the quality of care. It is also recognized that every person has the right to be allowed to make their own decisions, even if those decisions may not always be safe. Finally, at the very heart of person-centered care is the relationship between the elder and their caregivers in which the way a task is done is as important, if not more, than the task itself (Jones, 2011). …show more content…
Long-term care facilities that have implemented a high degree of culture change (as scored from a survey derived from a 2009/10 national nursing home survey) have had a significant decrease in the use of restraints, tube feeding, and pressure sores. Culture change is also associated with an increased number of residents on bladder training programs and a small reduction in the number of hospitalizations/resident/year (Miller, Lepore, Lima, Shield, & Tyler, 2014). When residents have been allowed to participate in their diet decisions, they have been found to have increased appetites and enjoyment of food, both of which are equated with quality of life. Alternatively, strict diets have been shown to result in lower intakes leading to weight loss and undernutrition. (Dorner, Niedert, & Welch, 2002). Offering a wide variety of foods with 24/7 access to allows active participation in choosing their own diet. Eliza Jennings homes were assured resident health was not compromised as a result of person-centered care by performing regular Accu-Checks and other diagnostic checks to monitor the health of the residents (“Case Studies in Person-Directed Care”,
This topic directly correlates with civic engagement and intercultural knowledge. The avoidance from administration to use BCMA systems within SNFs is negligent at best and elder abuse at worst. I have a duty to care for those in my community, even if they are living in a nursing home. I also have an opportunity to understand a different culture to determine if there are any ways in which I can benefit them or it can benefit me. Unfortunately, SNFs are very different living environments than an American family home.
Moss, A. J. et al. Design and operation of the 2010 National Survey of Residential Care Facilities. Vital Health Stat. 1. 1–131 (2011). at
Long-term care (LTC) covers a wide range of clinical and social services for those who need assistance due to functional limitations. These limitations usually result from complications associated with age related chronic conditions, from disabilities related to birth defects, brain damage, or mental retardation in children; or from major illnesses or injuries suffered by adults (Shi L. & Singh D.A., 2011). LTC encompasses a variety of services including traditional clinical services, social services and housing. Unlike acute care, long-term care is much more complicated and has objectives that are much harder to measure. Acute care mainly focuses on returning patients to their previous functional level and is primarily provided by specialty providers. However, LTC mainly focuses on preventing the physical and mental deterioration of an individual and promoting social adjustments to suit the different stages of decline. In addition the providers of LTC are more diverse than those in acute care and is offered in both formal and informal settings, which include: hospitals, physicians, home care, adult day care, nursing home care, assisted living and even informal caregivers such as friends and family members. Long-term care services have been dominated by community based services, which include informal care (86%, about 10 to 11 million) and formal institutional care delivered in nursing facilities (14%, 1.6 million) (McCall, 2001). Of more than the 10 million Americans estimated to require LTC services, 58% are elderly and 42% are under the age of 65 (Shi L. & Singh D.A., 2011). The users of LTC are either frail elderly or disabled and because of the specific care needs of this population, the care varies based on an indiv...
There have been problems within Long-Term Care and many of these abuses were turned over to the patients, there was hardly any direction on how to handle Long-Term Care. “Poor houses and Almshouses and developed in response to an impoverished, aging, and mentally and physically disabled population who lacked informal caregivers.” (Sarah Thompson, 2008 ) When Long-Term Care was in the infancy stage of developing there were many problems, issues that were created because there was not much direction. In developing in taking care of the elderly there were poorly trained nurses, medical workers and many of them were not qualified to work within the medical field. There were problems, many issues and multiple levels of abuse because of poorly trained medical workers where there was no direction.
Monsivais, D. B., & Engerbretson, J. C. (2011). Cultural cues: Review of patient- centered care in patient with nonmalignant chronic pain. [Magazine ]. Rehabilitation Nursing, 36(4), 166-71. Retrieved from http://search.proquest.com.library.capella.edu/docview/876578026?accountid=27965
For instance, there have been several nutritional interventions implemented in health care facilities. Specifically, screening can be effective in health care facilities to aid in identifying poor nutrition among the elderly, which is often undetected. Additionally, screening tools has been used to establish appropriate nutritional meals. One study by researchers Babineau, Jolyne, Villalon, Laporte, Manon, & Payette (2008) showed that the introduction of screening in a general hospital raised awareness of nutrition-related care. In this intervention dietitians conducts a full nutritional assessment and implemented a nutritional care plan for patients aged 65 or older (Babineau et al., 2008). The nutrition care program included nutritional screening, timely intervention, and close dietitian
Within the U.S. Healthcare system there are different levels of healthcare; Long-Term Care also known as (LTC), Integrative Care, and Mental Health. While these services are contained within in the U.S. Healthcare system, they function on dissimilar levels.
Elderly Culture and Nursing Homes Nursing homes offer a wide range of long-term care assistance for older adults to be able to meet their everyday needs. Older adults from different cultural backgrounds experience conflict with their decision to participate in a nursing home, catalyzing the underlying stigma different cultures hold towards nursing homes. In many cultures, older adults look for family as their primary source of care. However, when their needs cannot be met due to disability and mental health issues, it begins to take a toll on the person’s instrumental activities of daily living (IADL). IADLs are complex daily actions that are needed to live (Cavanaugh & Blanchard-Fields, 2015).
Taking care of the individuals that are getting older takes many different needs. Most of these needs cannot be given from the help of a family. This causes the need of having to put your love one into a home and causing for the worry of how they will be treated. It is important for the family and also the soon to be client to feel at home in their new environment. This has been an issue with the care being provided for each individual, which has lead to the need of making sure individuals have their own health care plan.
Houde, S., & Melillo, K. (2009). Caring for an aging population. Journal Of Gerontological Nursing, 35(12), 9-13. doi:10.3928/00989134-20091103-04
Upon growing older there are many decisions to be made. Among one of the most difficult and perhaps most important decisions is where the elder person will live and how long-term care needs will be met when he/she is no longer capable of doing so independently due to the incapacity that accompanies many with old age. Nursing homes seem to be the popular choice for people no matter the race, gender, or socioeconomic status with 1.5 million Americans being admitted to them yearly.[3] Because nursing homes are in such a high demand and are not cheap, $77.9 billion was spent for nursing home care in the United States in 2010 alone, they are under criticism of many professions including the legal profession, which is in the process of establishing elder law as a defense to issues with in the elder community. Nursing homes have a duty to provide many things to the elderly including medical, social, pharmaceutical, and dietary services so that the individual may maintain the highest well-being possible.[4] Stated another way 'a nursing facility must care for its residents in such a manner and in such an environment as will promote maintenance or enhancement of the q...
A nurse walks into a patient’s room, quickly noticing that the room has been completely rearranged from the typical layout. The oxygen outlet is on the opposite side of the room, the call light barely reaches the patient; the nurse begins to feel very uncomfortable due to the differences in the unusual room set-up. Unaware of why these changes occurred, the nurse begins to move things back into their respective places, without asking the patient for the reasoning behind the changes.
Today, the world’s population is aging at a very fast pace and the United States is no exception to this demographic change. According to the U.S Census Bureau, senior citizens will account for 21% of the American population in 2050 (Older Americans, 2012). Although living longer lives may not seem like a negative sign, living longer does not necessarily mean living healthier. Older adults of today are in need of long-term health care services more than any generation before them (Older Americans, 2012). Because of the growing need for senior care, millions of families are facing critical decisions on how to provide care for their parents.
Miller, C. A. & Co., Inc. (2009). The 'Standard' of the 'Standard'. Nursing for wellness in older adults: Theory and practice (5th ed.). Cleveland, Ohio: Lippincott Williams & Wilkins. National Institute of Neurological Disorders and Stroke (2011).
Held (2005) suggests that there is a collective commitment to care of others. Individuals put themselves in a secondary role to benefit and promote the well-being of others. There is an emphasis on practice and value. Pettersen (2011) and Held (2005) contend that the ethics of care recognizes that the caregiver must also protect themselves while promoting a cooperative relationship. The practice of care is done by expressing empathy and working on an attitude and standards which nurtures morally satisfactory