Mental Health

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Mental Health

Culturally Sensitive Nursing Care for a Jehovah’s Witness Patient with Dementia.

Mental Health

Professor

15th January 2024

Introduction

Objective: To provide tailored care that respects both the cognitive needs of dementia and the religious beliefs of Jehovah’s Witnesses.

Importance: Balancing medical care with religious values in mental health nursing.

Challenge: Understanding the interplay between dementia and religious practices.

Cultural Sensitivity: Emphasizing respect for patient’s cultural and religious beliefs.

Comprehensive Approach: Incorporating cultural, cognitive, and medical considerations.

Patient-Centered Care: Focusing on individualized treatment strategies.

Goal: To improve patient outcomes through culturally competent care.

Assessment of a Jehovah’s Witness Patient with Dementia

Cognitive Challenges: Evaluating the impact of dementia on memory, communication, and daily living (Denton, 2021).

Religious Engagement: Understanding patient’s religious practices pre-dementia.

Support Network: Role of family and religious community in care.

Healthcare Decisions: Exploring preferences regarding blood transfusions and medical procedures (Park et al., 2023).

Advance Directives: Assessing existing health directives and power of attorney.

Physical Health and Comorbidities: Understanding overall health status.

Behavioral and Psychological Symptoms: Assessing dementia-related symptoms.

NANDA Diagnoses for Jehovah’s Witness Patient with Dementia

Diagnosis 1: Impaired Memory related to neurocognitive alterations due to dementia.

Diagnosis 2: Risk for Spiritual Distress related to cognitive impairment.

Cultural Diagnosis: Altered Religious Practices due to cognitive limitations.

Impact on Religious Practices: Addressing challenges in maintaining religious engagement.

Spiritual Turmoil: Recognizing emotional and spiritual distress.

Medical Care Considerations: Respecting religious beliefs in treatment.

Holistic Diagnosis: Combining cognitive and cultural aspects in care.

SMART Goals for Patient Care

Objective 1: Stabilizing cognitive abilities measured by MMSE scores over three months.

Objective 2: Weekly participation in religious activities suited to cognitive abilities.

Objective 3: Ensuring medical care aligns with religious beliefs without conflict.

Objective 4: Improved communication abilities assessed by speech therapist.

Measurable Goals: Using scales and professional assessments for accuracy.

Respect for Beliefs: Prioritizing the patient’s cultural and religious needs (Park et al., 2023).

Time-Bound Targets: Setting specific time frames for achieving objectives.

Nursing Interventions for Cultural Safety

Inclusion in Spiritual Activities: Facilitating religious engagement within cognitive limits (Denton, 2021)..

Education on Beliefs: Training staff about Jehovah’s Witnesses’ practices.

Medical Procedure Alignment: Adhering to patient’s religious healthcare preferences.

Communication Strategies: Using simple language and visual aids.

Collaboration with Speech Therapists: Developing personalized communication methods (Park et al., 2023).

Family and Community Involvement: Encouraging support from patient’s social circle.

Respecting Patient Preferences: Ensuring patient choices are understood and honored.

Evaluating Nursing Interventions

Cognitive Assessment: Regular MMSE evaluations every three months (Hughes, 2023)..

Religious Engagement: Monitoring participation in spiritual activities.

Medical Care Alignment: Continuous dialogue with family on medical decisions.

Communication Progress: Assessments by speech therapists.

Objective Parameters: Use of standardized tools and family feedback

Feedback Mechanism: Incorporating patient and family input in evaluations (Hughes, 2023).

Adaptation of Care Plan: Adjusting strategies based on evaluation outcomes

References

Denton, J. (2021). Walking Each Other Home: Spiritual Companionship for Dementia Caregivers. Church Publishing, Inc..

Epps, F., & Williams, I. C. (2020). The importance of religiosity to the well-being of African American older adults living with dementia. Journal of Applied Gerontology, 39(5), 509-518. https://doi.org/10.1177/0733464818820773

Hughes, J. (2023). Dementia and Ethics Reconsidered. McGraw-Hill Education (UK).

Park, T., Sloan, D. H., Cruz-Oliver, D. M., Reid, M. C., Czaja, S., Adelman, R. D., … & Phongtankuel, V. (2023). Black Caregivers’ Symptom Management, Cultural, and Religious Experiences With Home Hospice Care. Journal of Pain and Symptom Management. https://doi.org/10.1016/j.jpainsymman.2023.04.013

WK 3 Rubric: Cultural Paper requirements – Describe ONE person of a culture on a mental health unit with a Diagnosis; uses these 6 headings to format PPT: Assessment; NANDA DX; Patient objectives; Nursing actions; Evaluation; Summary	Points1
ASSESSMENT: Discuss what you would/ did assess regarding your client’s culture. Dietary requirements? Schedule changes for religious practices? Spokesperson for the family	1
NANDA 3-part diagnosis: list 2 MH nursing diagnoses (DX)that this person has or may be at risk for AND one cultural DX	2
Planning/Patient Objectives: What planning needs to be made to insure the cultural and emotional safety of the client ( SMART goals). Use numbers and rating scales to measure. “The Patient will do……”	2
Implementation/Nursing actions: What are interventions that would ensure the safety of your client regarding culture? Address the patient objectives. For example, if your client has religious beliefs that affect the ability to take medications, what interventions would you create to ensure their safety or cultural needs are met? “The nurse will do….”	1
Evaluation: How did you evaluate whether your implementation was effective? Make sure parameters are measurable ( numbers and scales)	1
Summary: discuss whether your interventions were successful. What should be changed or improved?	1
APA format, 3 references with in-text citations, at least 8 PPT slides.	1
Zero grade may be given for plagiarism per student handbook.	10

Your PPT should utilize proper APA guidelines for title slide, references and citations and include at least three scholarly sources to support your PPT. A scholarly source is a source that has been peer reviewed and has appropriate authors that are credentialed. For more information on APA7, please visit the Online Library.

Link for APA7 in Library resources: https://guides.rasmussen.edu/ld.php?content_id=51943126

Revised: PBowman, 10.13.22

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