APatient Undergoing a Radical Mastectomy for Breast Cancer
APatient Undergoing a Radical Mastectomy for Breast Cancer
Culturallyspecific care has been incorporated into the mainstream health careby most of the health providers and caregivers. This is informed bythe need to be sensitive to the cultural needs of the patient or theclient(Boykin, Schoenhofer & Valentine, 2014).The Jewish community is known to be very sensitive to the religion,besides other aspects of their culture. Any care provided to a Jewishcommunity member must therefore put this fact into account. Thispaper aims to understand and integrate culturally specific care whenworking with a patient and family from the Jewish culture.
Thepotential health care problem identified for the purposes ofunderstanding the specific care is physiotherapy care for a JewishFemale recuperating from a radical mastectomy. It is important topoint out what kind of care the patient exactly requires at thispoint in time. The patient requires physical therapies and support asshe recovers. Times he requires help to dress as the husband is afull-time employee and only comes to see her in the evening.Generally, the patient has to be assisted to perform the basic tasks.Even feeding herself is a real struggle as she still has a lot ofpain and cannot stand straight. This means there is a lot of physicalcontact in carrying out of the treatment.
Tobalance the demands of the culture/religion and the health needs ofthe patient, it was agreed that the care should be conducted in thepresence of a visiting relative. This would eradicate any conflictand ensure the smooth continuation of the therapies(Purnell, 2013).
Althoughthe lady has got no problem receiving the therapeutic care from amale nurse, she is wary of her relatives. She claims they are verystrict about the physical contact between two persons of the oppositegender. This is mainly informed by their strict adherence to theirreligion, Judaism. Most of the relatives are of the view that femalepatients should only be attended by female therapies in treatmentsthat involve a lot of body contact. However, the best availableoption is a male nurse. All her treatments are covered by healthinsurance cover that also covers her family of four. Their two sonsare in school and don`t come back home until late in the afternoon.According to the Jewish culture, it is inappropriate for members ofthe opposite gender to spend long periods of times together, unlessthey are family members or relatives(Holtz,2008).Then there is the issue of Sabbath day, where most of the therapiesshould be avoided as much as possible.
DespiteThe concerns that the culture and religion pose, they all agree thatthe therapy sessions must be adhered to as prescribed by thephysician. As a professional nurse, I endeavor to respect and valuethe religious and cultural needs of all my patients. Any decisionsmade by the family based on cultural and religious needs of thepatient should be adhered to. This is only so as long as the decisiondoes not clash with therapy`s personal and professional ethics(Holtz, 2008).The visiting relative would also be assisting in some of the physicalactivities, with the guidance of the nurse. This would eliminate somecontacts that are deemed culturally and religiously inappropriate.Torah, which is the religious supreme law, is highly respected andindividual must endeavor at all times to respect it. As a culturallysensitive nurse, one should respect it too.
Themost appropriate therapeutic interventions are adopted. This is ahybrid of both the medical requirements of the therapy and the needto observe the cultural requirements of the patient. It ensures thatthe health care needs of the patient are not compromised, while atthe same time, a health care professional observes and respectscultural and religious boundaries. With the inclusion of the femalerelative into the therapy sessions, there would be no interferencewith the goals of the treatment. The expected outcomes would beachieved within the set time frame. The patient would still commandthe respect from the family informed by her level of interaction witha male caregiver.
Ina reflection of the experience, this assignment has really influencedmy perception.iam more aware of how culturally sensitive somepatients are. It has opened an understanding that members of theJewish community are highly religious and would make an effort toobserve Torah at all time times. I am also enlightened about theSabbath day in relation to the performance of tasks/duties(Harris, 2010).The experience also has enlightened on the close connection betweenJewish culture and religion. The recommended levels and areas ofinteraction between males and females among members of the Jewishcommunity have also been clarified.
Inconclusion, the integration of culturally specific health care intoall societies is significant in the realization of goals andobjectives of the health care. The Jewish community observes a widerange of cultural and religious practices, which should be factoredin the health care systems(In Stanhope & In Lancaster, 2014).The health care professionals should be responsive to the culturaland religious needs of patients so that desired outcomes inhealthcare could be achieved.
Boykin,A., Schoenhofer, S. O. B., & Valentine, K. L. (2014). Healthcare system transformation for nursing and health care leaders:Implementing a culture of caring.
Purnell,L. D. (2013). Transculturalhealth care: A culturally competent approach.Philadelphia: F.A. Davis
Holtz,C. (2008). Globalhealth care: Issues and policies.Sudbury, Mass: Jones and Bartlett Publishers.
Harris,M. D. (2010). Handbookof home health care administration.Sudbury, Mass: Jones and Bartlett.
InStanhope, M., & In Lancaster, J. (2014). Publichealth nursing: Population-centered health care in the community.