The second model is the LEARN model which was developed by Dr. Elois Ann Berlin and Dr. William Fowkes (1983). It has similar objectives to the previous pneuomnic, which are to provide health care practitioners with a simple pneumonic to improve cross-culture communication. This model should not be viewed as a separate pneumonic to memorize but rather a complimentary method to implement culturally appropriate health care for all patients.
The L stands for listen. As a health care practitioner it is the foundation of effective care for health care providers to be able to listen and understand the patient’s perception of their chief complaint. Additional questions may be required to elicit a complete answer from the patient such as what do you believe is causing your problem? How do you think your illness has impacted your life? And, what do you feel is the most beneficial for you at this time? The aim of all these questions is to provide the physician with a comprehensive understanding of the patient’s perspective of their disease.
The E stands for explain. This step is to allow the health care practitioners to expand and elaborate about why they believe the symptoms the patient has described is one ailment versus another. For example if a patient presents with a sore throat that is caused by a virus, it would be critical for the physician to explain
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At this point it would be appropriate for the physician to recommend a treatment plan that takes into account the patients’ concerns as well as their cultural requirements. It would not be appropriate to recommend treatments that do not align with the patients’ culture. For example, some cultures do not believe in the use of suppositories. Thus is would be inappropriate to prescribe a patient diagnosed with ulcerative colitis Canasa®, a rectal suppository. Instead it would be more appropriate to initiate an oral regimen of mesalamine in order to improve adherence (Kornbluth & Sachar,
...health of a patient and a follow up check at the GP’s may be required.
...s, K.D., London, F. (2005). Patient education in health and illness (5th ed.). New York: Lippincott.
These differences in origin accounts for diversity in socio-cultural backgrounds and nurses must develop the knowledge and the skills to engage patients from different cultures and to understand the beliefs and the values of those cultures (Jarvis, 2012). If healthcare professionals focus only on a narrowly defined biomedical approach to the treatment of disease, they will often misunderstand their patients, miss valuable diagnostic cues, and experience higher rates of patient noncompliance with therapies. Thus, it is important for a nurse to know what sociocultural background a patient is coming from in order to deliver safe an effective
The healthcare establishment has identified that often “the practitioner will encounter families whose beliefs and assumptions about the etiology and appropriate treatment for illness is markedly different from their own” (Cora-Bramble, Tielman, & Wright, 2004, p. 102). This will often cause difficulties in treatment and may in fact, cause actual harm when medical treatment and traditional remedies collide, and treatment may, in fact, be necessitated by the administration of traditional cures rather than the illness itself. For example, Cora-Bramble, Tielman, and Wright (2004) cite a traditional remedy in Hispanic culture for a stomach ailment include azarcon and greta, which are lead oxides, resulting in lead poisoning if
The increase and changing demography in the United State today, with the disparities in the health status of people from different cultural backgrounds has been a challenge for health care professionals to consider cultural diversity as a priority. It is impossible for nurses and other healthcare professionals to learn and understand theses diversity in culture, but using other approaches like an interpreter is very helpful for both nurses and patients. In this paper of a culturally appropriate care planning, I will be discussing on the Hispanic American culture because, I had come across a lot of them in my career as a nurse. The Hispanic are very diverse in terms of communication and communities and include countries like Mexico, Cuba, Puerto Rico, South and Central America, and some of them speak and write English very well, some speaks but can’t write while some can’t communicate in English at all but Spanish.
The goal of this lesson is to explore how we can improve communication to eliminate language barriers between healthcare providers and patients in our organization and to establish culturally and linguistically appropriate goals, that provide safe, equal, and quality care to all our clients regardless of race, ethnic, or socioeconomic status. At the end of this lesson we should be
Goode, T. D., Dunne, M. C., & Bronheim, S. M. (2006). The evidence base for cultural and linguisitc competence in healthcare. The Commonweatlh Fund , 1-46.
Responsibilities of nurses in patient education are helping patients learn health-related behaviors to achieve the goal of optimal health and independence in self-care. It is also the responsibility of the nurse to assess the patients’ learning needs, readiness to learn, and learning styles. Needs and problems of individual patient and family are very important (Wingard, 2005). Some patients need information to understand more about their health condition and how to overcome or prevent the complication of disease. The others may interest in improving quality of life with current diseases. Patients’ problems include patients’ culture, race, ethnicicy, religious orientation, socioeconomic status, age, gender, educational background, literacy level, and emotional state (Wingard, 2005). Next, nurs...
This collection of subjective data from the patient or family is key because it gives us an idea of where to look or what steps need to be taken. At this time their cultural and ethnic preferences become aware to us and it is our responsibility to be competent enough to understand in order to respect and advocate for their preferences.
the patient's life and feelings to get an understanding of what the patient goes through on
Cultural blindness can lead to misconceptions and the inability to treat patients efficiently. Culture, religion, beliefs, values, social economic standings, education, mentality, morals, and treatment are all different from person to person, community, and groups. These barriers can be overcome by treating each patient as a unique individual and seeking to learn about cultural beliefs and differences, without reservations or pre-judgments but with an open and willing mind. These inhibiting barriers can be crossed through acceptance and commonality can be established. Through Patient-centered communication and attentiveness to the patients’ interpretation, discussion of lifestyle and treatment choices in an open and non-judgmental manner, and understanding of patient views, concerns and information needs can lead to cultural sensitivity and appreciation (Dean, R,
3. Reflect on the required readings, the article you choose for this assignment, and your own beliefs. Then, briefly describe how culture influences health care and what you learned that could help you effectively interact with diverse cultures in the health care
...re are many options for a patient regarding their health care and it is important that they are knowledgeable in all aspects.
An individual’s culture and belief may significantly impact the type of services they require. In addition, it may affect the time, place, and method in the delivery of health care
Understanding cultural differences not only improves the effectiveness of the treatment the patient receives, it is also help the nurse to prevent negliency of care. It is impostant to maintain a curiosity about each patient no matter how much we know abouth that person's culture.