discussion response

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Using the patient information provided, respond to the following questions: (a) What cultural considerations are important for you to remember while you interview Ms. Li? (b) What is the abuse assessment screen? (c) If abuse is discovered, what should you do?

 

Patient Information:

 

Patient:  Sue Li

 

Age:  20

 

Ethnicity: Asian American

 

A.         Nurses must look at the big picture when approaching situations, especially those of cultural differences.  What we do or don’t do during an assessment of a person of a different culture may make or break the encounter.  In the scenario given, the patient is a 20-year-old Asian American female by the name of Sue Li.

 

When assessing Ms. Li, I would use the appropriate tittle for her name unless told otherwise by the patient.  I would then assess the situation of Ms. Li’s cultural background and what she is currently practicing.  It may be that Ms. Li has completely assimilated to an American culture, or Ms. Li may need an interpreter, but I won’t know until I ask.  I would then put Ms. Li at ease by explaining that we will take a holistic view at her current health status and that if there is anything special she would like me to know before the assessment (Chung, Nguyen, & Gany, 2002).

 

During the assessment, I would let Ms. Li control the amount of eye contact that goes on because direct eye contact may be taken as a sign of disrespect.  I would listen and acknowledge Ms. Li’s feelings and apprehensions.  When speaking with Ms. Li I would use clear, concise, plain language to assure that she understands completely what is being discussed (Chung, et al., 2002).  The nurse will also need to know the extent of traditional medicine Ms. Li has used and if she is taking any medicinal remedies that may cause complications with any medications prescribed.

 

B.         The Abuse Assessment Screen (AAS) is an assessment tool designed to screen for domestic violence and abuse during pregnancy by asking 3 to 5 questions about current emotional, sexual, and physical abuse before and during pregnancy (WHEC, 2016).  The AAS also assesses the frequency and severity of the abuse if present.  This assessment is performed when the patient is alone with the health care worker.

 

C.         If during the assessment there is abuse that is suspected or disclosed, the nurse must take a gentle approach in an open, nonjudgmental way.  The nurse must be a good listener and validate the patient’s decision to speak up about the abuse.  The nurse must communicate that this type of behavior is unacceptable and she does not deserve to be treated like that (Power, 2016).  The nurse must assure that the patient is immediately in a safe situation especially if the abuser is nearby.  The appropriate authorities must be notified so that an investigation can take place.  In certain situations, such as a sexual assault or rape, there may be the need to call in a special team to take over the investigation (Power, 2016).  The situation then must be documented immediately so that there are not any important facts accidently left out or forgotten.

 

References

 

Chung, H., Nguyen, D., & Gany, F. (2002). Initial behavioral health assessment of Asian Americans. Part 1. Keyprinciples. Western Journal of Medicine, 176(4), 233–236.

 

Power, C. (2016, September 23). Domestic Violence: What Can Nurses Do? Retrieved January 21, 2017, from https://www.crisisprevention.com/Blog/September-2011/Domestic-Violence-What-Can-Nurses-Do

 

Women’s Health and Education Center (WHEC). (2016) – Violence Against Women – Domestic Violence During Pregnancy. Retrieved January 21, 2017, from http://www.womenshealthsection.com/content/vaw/vaw011.php3

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Discussion response

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Re: Topic 5 DQ 2

The video clip was an eye opener and took me through a rollercoaster of emotions. It was evident that the country of Haiti was not prepared for a large-scale disaster like the earthquake that occurred in 2010. The earthquake claimed the lives of more than 200,000 people and injured thousands more (World Health Organization, 2019). Their health care infrastructure including hospitals and health facilities were put to the ultimate test as thousands of people lined up for care. Many lessons of disaster preparedness can be learned through this devastating event.

Disaster or emergency management can be separated into four phases: Prevention or Mitigation, Preparedness, Response, and Recovery, each phase having its own set of activities. The mitigation phase includes actions to prevent or reduce the cause, impact, and consequences should a disaster occur. Public health nurses (PHN) can educate the community with planning for emergency situations such as practicing preparation drills. The preparedness phase includes planning and training to develop the capacity to respond quickly and efficiently to disasters and emergencies. Activities include developing plans to include what, where, and who to call for assistance. Health care facilities may practice through drills and exercises or educate the public with creating disaster kits. The next phase is the response phase which is the phase immediately following a disaster to provide safety for the community such as search and rescues, providing shelter, food, and medical care. The last phase is the recovery phase where restoration efforts occur (Falkner, 2018).

Disasters are unpredictable and impossible to stop and therefore, preventative measures must be taken to decrease the impact in the event of a disaster (Falkner, 2018). The primary phase involves planning prior to the onset of a disaster. PHN can assist families with creating plans for emergencies such as a making a first-aid kit, having at least a three-day supply of nonperishable goods, or preparing a gallon of water per person per day for at least three days. Another important message for the public is having an evacuation plan 9Falkner, 2018). There were no evacuation or safety plans in place for emergencies. Haiti was not prepared at for mass casualty. Having necessary supplies for developing countries can be challenging. Therefore, worldwide efforts with building emergency shelters should be in place. A good place to start are hospitals and clinics with adequate supply of water and food. Secondary prevention occurs within the onset of a disaster such as providing emergency assistance and emergency shelters (Falkner, 2018). As said in the video clip, people were lined up everywhere for medical services. Preventing infections from wounds, providing necessities or proper shelter was an impossible task due to lack of supplies and inadequate infrastructure. While there were worldwide efforts to provide secondary aide, it was an absolute chaos. Boxes were everywhere and emergency supplies could not be located. Perhaps in an event such as this, a point person can be designated to coordinate supplies so that it is more assessible to the health care team. Tertiary prevention occurs once the disaster has ceased with a focus on recovery (Falkner, 2018). The time for recovery will vary but there is hope with worldwide effort. This could come from donations and missions from volunteers to assist with financial and emotional distress such as the American Red Cross. The American Red Cross is a non-profit organization that has been providing life-saving services to the members of the American armed forces as well as providing emergency assistance in the United States and worldwide.

Reference

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