'Nurse Culture Assessment\r'

' campaign head: CULTURAL ASSESSMENT heathenal judgement June 14, 2008 Abstract In companionship to dea alive(p)r breast feeding burster to contrasting gardenings, nurses argon judge to get wind and go a port heathen each(prenominal)(a)y fitting wellness vexation to several(a) individuals. heathenly competent tutorship is burned to the particularized ask of from each one knob, while incorporating the individual’s beliefs and set (Stanhope & Lancaster, 2006, p. 90). By worldness social aloney competent, nurses be able to jockstrap improve wellness appearcomes by using heathen friendship and special skills in selecting interventions that atomic number 18 specialized to each leaf node (Stanhope & Lancaster).\r\n at that placefore, nurses â€Å"should perform a cultural sagaciousness on all knob with whom they interact with” (Stanhope & Lancaster, 2006, p. 90) to help catch customer’s perspectives of wellness an d disorder and emit close culturally appropriate interventions. In this paper, the reservoir impart demonstrate how nurses stinkpot utilize a cultural inheritance assessment cock to help phrase a cultural competent nursing allot political platform, which ground die big(a) be referred to in concomitant A and B.\r\nBy culturally assessing invitee, nurses go forth be able to differentiate the assumes of culturally various(a) individuals and decide bring out if whats grand to the flori flori destination is in truth alpha to the person in wrong of specific wellness inescapably. Introduction In order to deliver nursing electric charge to different gardenings, nurses atomic number 18 expected to understand and bid culturally competent wellness pull off to diverse individuals. lactates must materialize out virtually order’s traditions, government agencys of intent, and beliefs about health c be so that the appropriate interventions rotter be protrudened and implemented to produce culturally optimistic health outcomes (Stanhope & Lancaster, 2006).\r\nBy world awargon(p) of the lymph node’s cultural beliefs and knowing about otherwise acculturations, â€Å"nurses whitethorn be less judgmental, more(prenominal)(prenominal) than than pass judgment of cultural differences, and less likely to affiance in the behaviors that inhibit cultural competence” (Stanhope & Lancaster, 2006, p. 84). Most primally, nurses must listen to the knob’s perceptions of problems and hammer together to invent suggestions and recommendations for managing those problems.\r\nTherefore, cultural assessments tools nurture been developed and argon available to help assist nurses incorporate â€Å"professional knowledge with the guest’s knowledge and utilizations to negotiate and promote culturally relevant sustainment for a specific knob” (Stanhope & Lancaster, 2006, p. 82). bur st I: pagan Assessment of Client A cultural nursing assessment is know as a â€Å"systematic way to set the beliefs, determines, meanings, and behaviors of people while considering health history, smell experiences, and the social and physical environments in which people live” (Stanhope & Lancaster, 2006, p. 5). For this reason, cultural assessments ar an inseparable divisor in providing quality care to diverse individuals of different refinements. For this reason, the fountain utilize the cultural heritage assessment tool to help assess the pagan glossiness of Mrs. P. Referring to Appendix A, the outline shows the interview questions and answers still by the indite per Mrs. P. Reassuring the confidentiality of the knob’s interview, utilization of the cultural heritage assessment tool enabled the germ to gather, phra set aboutify, and contemplate the culture of an Ameri loafer Hindi Indian.\r\n shortened History of ethnic and/or racial Origin s The lymph node evaluated by the imposed was a 35 year sexagenarian female person proposed Mrs. P who lives in Poway, California. The prompt family patch consists of a wife and a husband who average recently got conjoin. In regards to the lymph node’s cultural punctuate, the ethnic culture that Mrs. P set with was an Ameri faecal matter Hindu Indian. Born and raised in Poway, California, Mrs. P’s father and the grandparents from the father and stimulate’s side were innate(p) in Punjab, India, while the amaze was born in Utter Pradesh, India.\r\nComing from India, the thickening’s parents has lived in the United States for 14 years. backing in Poway since then, Mrs. P grew up in a rural lay and lived with the parents and young associate until recently moving out when the leaf node got married. With Hindi as the thickening’s infixed linguistic communication, Mrs. P and the associate can solely sing Hindi, compared to the mo ther and father who can both order and speak the native language. Socioeconomic Considerations With art and education, the guest’s dad has a master’s in craft and working for Gateway calculators.\r\nThe customer’s mamma has a tip in psychology and is a housewife, and the younger brother has degree from UCSD for management science and economic science and works at Boeing. As for Mrs. P, the client works as a teacher, having get a bach’s degree in business administration from the University of California, Riverside, and Mr. P works as a neuro-surgeon, with a bachelor’s degree in cellular and molecular biology and in computer engineering, and know in computer engineering.\r\nReceiving no financial assistance, the client seemed well-to-do in the current socioeconomic class of upper middle class be fix in that location are no plans of changing job. before long avowing a home with 4 bedrooms, 3 bathrooms, a lively room, eat room, lo ft, and patio, the existing arrangements for Mrs. P appear sufficient for a future family to live in. Value druthers According to Mrs. P, respect for elders, a reliable education, heavy family cathode-ray oscilloscope and connections, venerate, and wide-cut moral philosophy for clubhouse, are determine that are held gamely at bottom the family’s culture.\r\nEducation and a richlyer(prenominal)ly held position in a flight are rattling important because these set determine an individual’s posture in society. Examples accommodate doctors and engineers. Obviously, succeeder is pertinent within the Indian culture. Indians are known for their hard work, vitality and dynamism. However, although looked as mettle approximatelyly important, the family’s overall ideal of these take accounts do non posit who a person is; these values are appreciated. suppuration up, Mrs. P adopted that all(prenominal) action requires reckoning because any en ding might draw a ban effect on the family, and how society will react.\r\nFamily write up is truly important and in the Indian culture, individuals must be pains fetching non to do anything to put blast the family name. The Indian culture is very family-oriented, which is wherefore family comes world-class. In health and in sickness, the family takes care of each other. pagan Sanctions and Restrictions According to the client, thither are no cultural endorsement and restrictions that the client is witting of. For the well-nigh part, Mrs. P regards that since the parents were open-minded to the fact of surviving in the United States, a strict Indian culture was non experienced during childhood.\r\nThe parents tacit what tolerant of environment the children were in and did not expect Mrs. P and the brother to be restricted to an Indian sp remedylinessstyle. parley As far as communication is tendinged, Mrs. P informed the seed that communication involves all partic les of the family, friends, and troth. However, the Indian culture take ups the way individuals elapse with family and friend by restricting cowcatcher topics when inappropriate. For example, foul language or cozy topics whitethorn be considered unacceptable to discuss in preceding of parents.\r\nFor the most part, Mrs. P’s family does get along well, which is translucent by the client’s shut down relationship with immediate and extended family members. With much(prenominal) open communication to close to completion and having great family relationships, Mrs. P defys rival with all members of the family and takes the period to date family every fewer weeks. Health-related Beliefs & Practices & feeding Health-related beliefs and exerts generally emphasize taking care of the health of all members in the family. According to Mrs.\r\nP, health-related beliefs and practices are related to nutrition. The wholly information that the client prov ided to the reason was that Hindus descry some foods as â€Å" animated” and some are â€Å" tatty”, and at that placefore, should only be eaten during certain seasons and not in combination. There are different perceptions of â€Å" igneous” and â€Å"cold” foods depending on the region of where individuals are from. From these perceptions, foods are thought to affect body functions. In the client’s case, Hindus love to falsify and eat traditional dishes that are perceive as levelheaded.\r\nFrom raima, cholay, and saag, these Indian dishes are commonly made by the client’s mother because Mrs. P does not normally make the traditional cultural dishes. As far as any specific alimentary restrictions, alimentation snapper is not considered computable, entirely some individuals within the culture still eat meat. With Mrs. P, the client touchs on well-balanced meals and does not surveil the ideas of bitter and cold foods. The only cultural diet that is followed is not eat meat. Cultural Aspects of complaint Incidence In regards to aspects of disease, the client’s culture customs and eliefs often kick in to the decision for medical care and pickaxe of healthcare services. Super inhering quarters and excess in human needs are recognized to contri honorable nowe to ailment and disease, regardless of position in life. For example, the client gives that example of eating too legion(predicate) sweets will cause round worms and that too much familiar activity can be associated with tuberculosis. regular(a) more so, if a disease is knowledgeablely related, the occurrence of much(prenominal) diseases is looked upon as gibelike if unmarried. In addition, profligacy can be caused by a variety of outlaw(a) eating habits.\r\nAs a result, cultural treatments that may be used include homeopathic medicine, herbal remedies, mixing devotion and medicine, and observing the individual within a natural env ironment. In the client’s case, a health problem that is presently affecting the family is high source pressure. phantasmal Affiliation According to Mrs. P, the client’s unearthly preference is Hinduism, which is the same godliness for Mr. P and all members of the immediate family. apparitional beliefs and practices include believing in rebirth and in many a(prenominal) gods, and from time to time aid a temple.\r\nHowever, the client does not belong to to a sacred institution nor is an participating agent member of any religious or ethnic organization. Yet, the client does practice the Hinduism when with the family. In the root’s opinion, the client explicit ideas for becoming more concern with fighting(a) in religious or sacred activities. As for the neighborhood, in that location are diverse backgrounds of different ethnic cultures and faiths within the community. developmental Considerations The only reachments and tasks fulfilled by th e client’s family include having both children receive from college and finding roaring careers.\r\nWith having such high values in education and career, the informant is not surprised that the parents consider offset and a natural job as very important achievements that a family member can accomplish. Even more, in the client’s sake, getting married, assumeing a in the buff job, and moving into a spick-and-span home were life changing fulfillments that the client has longed to achieve. As far as failures and achievements, being Indian has abnormal the fulfillment of achievements and perspectives of failures by placing the pressure to eer be â€Å"on top of [the] game. Competition is what brings out the scoop up in people and achieves the crush results. Growing up, the client was always encouraged to excel. The expectations of families towards children were very high. With Mrs. P, the client attaind to be the best because expectations were high and from t he author’s point of view, the client has get intoe very well to be at the point where the client is. Since the client’s family first start, the only health and health-related events and experiences that Mrs. P has gone through is transaction with the removal of cataracts in client’s father’s eyes.\r\nFortunately for Mrs. P, there arrest been no immediate deaths or births go through interpreted place since the client has been born. Since the client’s the crude man and wife life, no health related events has occurred. pull up stakes II: Self Assessment Health-related Attitudes regarding this Cultural Group From the author’s ego assessment about health-related attitudes regarding Indians, the author presumed that the most Indians are abandoned to respiratory infections such as tuberculosis and pneumonia, hypertension, nutritional deficits, and high risk behavior such as alcoholism and cigarette smoking.\r\nTo be abruptly honest, the main assumption that the author had in regards to this cultural root words is that individuals of the Indian culture prone to strive dietetical restrictions, which pebibyte to a number of health problems. In addition, having had an Indian roommate, the author cogitated that individuals of this culture hold beefed-up cultural beliefs and values because of the parents. Parents throw off a strong hold in the way Indian children think and be nourish. From family, friends, school, and community relationships to knowledgeable activities, education, and work, Indians are expected to be smart, careful, and successful in all aspects of life.\r\nIn the author’s opinion, such values and beliefs emphatically influence and contri thoe to the health-related attitudes held by author because American Indians’ physical, psychological, social, and weird dimensions of life can eventually affect the health of these individuals. evaluation of origin’s Values, Beliefs, � 38; Practices In regards to the author’s values, beliefs, and practices, much of what has been embedded into the value and belief system of the author, including lifestyle practices, has been collectable to family, friends, and personal experience.\r\nFrom respect, obedience, and honesty, to work, education, religion, rationality and practicality, and the quality of life and health, the author strives to maintain a positive outlook in life, believes that hard work and determination will lead to a successful career, marriage, and family upbringing, and appreciates life and all the miraculous blessings that are often taken for allow like ambulation, breathing, and a healthy, loving family. Family, school, health, and religion are the most important values that the author holds.\r\nAs a Catholic, the author believes that immortal has a plan for everything and whether life experiences are good or bad, God has a reason. Although the author does not conscientiously await Chu rch, prayer is often performed at home and at school. With school, education is an important aspect to a successful career. In the author’s opinion, knowledge is pertinent to success. Even more so, being aware of beneficial and risky lifestyle practices are necessary to maintain a healthy life. Such practices include exercise, a well-balanced diet, no smoking or drugs, and sound sexual practices.\r\nObviously, values, beliefs, and practices may affect the physical, psychological, social, and apparitional dimensions in life. However, being only 25 years old, the author is aware that there is still so much more to learn about life. Therefore, the author form open to innovative ideas and opportunities so that excess knowledge, mistakes, achievements, and failures will continue to add to the author’s life experiences. How might Author’s values, beliefs, & practices affect Delivery of breast feeding guardianship to this Culture Group?\r\nThe author’s values, beliefs, and practices may affect the slant of nursing care to this culture gathering with the inability to empathize and understand complaints and concerns about health which leads to inaccurate assumptions about patient of needs and creates assumptions that may impose ideas and interventions that may be unacceptable to the plan of care. world unable to step outside the author’s box of values, beliefs, and practices may continue the author from learning about other culture.\r\nAs a result, the overall affect of delivering nursing care for this culture class is making incorrect assumptions about the needs of the clients and developing a care plan that may serve no clear in improving the quality of life. Part III- Developing a Plan of Care After culturally assessing Mrs. P, the author identified the client’s realizeiness for deepen religiosity. With a new marriage, a new house, and a new job, the client expresses concern that being away from the paren ts may lead to decreasing active lifestyle of practicing the beliefs and practices of the Indian culture.\r\nEven more so, the client acknowledges and expresses a desire to maintain the beliefs, values, practices that the parents have taught. organism married to a husband who does not actively practice the Indian culture, along with dealing with the expected stressors of being a new wife, taking care of a new house, and starting a new job, Mrs. P. strongly believes that maintain the values and practices of the Indian culture may be an telling coping strategy that Mrs. P is automatic and ready to do. Obviously, Mrs. P. recognizes the importance of the Indian culture and is ready to enhance what had been taught to cope with the new life changes.\r\nReferring to Appendix B, the author’s goal for the client includes verbalizing the willingness to seek help to regain desired religious beliefs and practices and acknowledging the need to substantiate religious affiliations and lead involved in unearthlyly based programs. These two goals seem appropriate for the client because if Mrs. P is willing to seek help with maintain the Indian culture and acknowledges the need for additive resources to participate in religious activities; the client can enhance religiosity within the newly real life transitions.\r\nTherefore, the interventions that the author has planned include determining the unearthly state/motivation for growth by ascertaining religious beliefs of family of origin and climate in which client grew up, discussing client’s spiritual commitment, beliefs and values, assisting the client to integrate values and beliefs to achieve a intelligence of wholeness and optimal balance in daily living by exploring connection of desire to assure belief patterns and customs of daily life, and boost participation in religious activities, worship/religious services, reading religious materials, etc and provide referral to community sources.\r\nIn the author’s opinion, the overall plan of care has been change to the specific ethnic or cultural beliefs of Mrs. P because the plan addresses the cultural needs of the client. The interventions are client-centered and do not force any assumptions or beliefs of the author or of any other culture. The client has see of the care given. Even more so, communication, education, and religion being incorporated into the plan of care which were what the client expressed as the values and beliefs that are recognized as important. Hence, safe writeing what is important to the client.\r\nConclusion To review, nurses must be able to provide culturally competent care to diverse individuals of different cultures. culturally competent care can be accomplished by utilizing cultural assessment tools to better understand clients and other cultures in the community. Assessing the culture of an individual is an essential component in providing quality nursing care. In order to provide cultural ly diverse care, nurses need to take the time to learn about each client: who the client is, what the client feels and, most importantly, what the client needs.\r\nBy doing so, nurses will be able to tailor a plan of care that implements interventions that are best appropriate to a client’s specific need, delivering quality nursing care, especially when of a different culture. References Doenges, M. , Moorhouse, M. , & Murr, A. (2006). agree’s pocket guide: Diagnoses, prioritized interventions, and rationales (10th ed. ). Philadelphia, PA: F. A. Davis. Stanhope, M. & Lancaster, J. (2006). Foundations of nursing in the community (2nd ed). St Louis, MO: Mosby, Inc. Appendices Appendix A Cultural Assessment of Client I.\r\nBrief History of Ethnic and/or racial origins of the cultural group with which the client identifies Q1. What ethnic culture do you identify with? A1. American Indian. Q2. Can you attain a brief history of your ethnic culture? A2. Okay. Q3. Where were your parents born? Where did they grow up? A3. India †Punjab (dad) mom †U. P (Utter Pradesh) Q4. Where were your grandparents born? A4. India Q5. bugger off’s parents? A5. Punjab †India Q6. Father’s parents? A6. Punjab †India Q7. How many siblings do you have? A7. 1 younger brother. He is 28 years old.\r\nI am 35 years old. Q8. What setting did you grow up in? urban or rural? A8. I’ve lived in Poway, California, all my life. I love it here. My study looks more rural than urban. There is a lot of open land and commonalty grass. We’re near the mountains so we are pretty far from the city life. Q9. What is your native language? A9. Hindi Q10. Do you speak this language? A10. Yes, everyone in my family can. Q11. Do you read your native language? A11. no. just my parents. Q12. Was your original family name changed? A12. No. Well, I just recently got married, so I use up my husband’s name now.\r\nQ13. How old were you when you came to the US? (if applicable? ) A13. I was born in U. S. A. My parents, on the other hand, came about 14 years ago. Q14. Who lived with you growing up? A14. Parents and brother II. Values Orientation Q1. What does your culture value? A1. Respect for elders, good education, good family background and connections, and good ethics for the society. pietism is also important. Our culture strives on hard work, vitality, and dynamism. Q2. Compared to western culture, how do you value achievement, materialism, ducation, work, equality, spirit of the environment, rationality and practicality, orderliness, and the quality of life and health? (in terms from your culture, if different? ) A2. I value all these things, especially education and high status in career is important. The character of careers you do are also very important and sets your status in society (doctors and engineers looked upon highly). Growing up, I learned the reputation was highly looked upon so whatsoever I did, I had to think before I act. Q3. How does your family value these things? A3.\r\nMy family believes these are also all important, but they do not see these things as items that define a person, but they do appreciate these things. For the most part, upholding the family name and image in society is an important aspect in our culture because family comes first. My family is very family-oriented and respect is expected within our immediate and extended relationships. III. Cultural Sanctions and Restrictions Q1. any cultural sanctions and restrictions? A1. None that I am aware of. If there were, I certainly was not informed. I guess because my parents do not carry the Indian culture as strict as other families.\r\nThey try to be very open-minded to living in the United States and understanding the kind of environment that me and my brother live in. IV. Communication Q1. How does your family communicate with each other? A1. We talk to everyone, openly and respectfully. We talk to family, friends, and the people of the community. Q2. How does culture affect the way you communicate to family and with friends? A2. authorized things might not be accepted to be talked about in front of parents such as foul language or sexual topics. Q3. Does your family get along? A3. Definitely!\r\nFamily is very important, unless something is inappropriate or unacceptable, then that causes problems. only when for the most part, being close to family is an essential aspect of our culture. Q4. stool you or do you maintain contact with: Q4a. Aunts, uncles, cousins? Brothers and sisters? Parents? A4a. Yes, especially since I go out of the house. I try to remain in close contact with everyone. Q5. Did most of your aunts, uncles and cousins live near your home? A5. Yes Q6. How often did you visit family members who lived outside of your home? A6. Every few weeks V. Health-related beliefs and practices\r\nQ1. Does your culture believe in traditional health beliefs or practices? A1. Much of what we believe in is related to nutrition. What we eat affects the way we function. For example, some foods are â€Å"hot” and some are â€Å"cold”, and therefore, should only be eaten during certain seasons and not in combination. Depending on what region individuals are from, different families have a different perspective of â€Å"hot” and â€Å"cold” foods. Hindus love to cook and everyone has their own perception of healthy foods, so individuals usually cook dishes that they believe are nutritional to how one may function.\r\nQ2. Do you follow any traditional health beliefs or practices? A2. No, not really. I eat whatever my mom used to cook for me. But now that I moved out, I cook whatever I have in the fridge. I don’t really believe in the hot and cold stuff. Q3. Do you do anything to keep healthy or prevent unwellness? A3. Just eat right and workout. I try to eat well-balanced meals and exercise. VI. Nutrition Q1. Do you prepa re foods special to your ethnic background? If yes, describe. A1. I don’t make them since I don’t know how, but my mom makes many different dishes and I enjoy eating them. rajma, cholay, saag) Q2. be there specific dietary restrictions in your culture? A2. Eating meat is not considered good in our culture, but people still eat it. I, on the other hand, have kept that dietary restriction so I don’t eat meat. VII. Socioeconomic considerations Q1. What is your family’s occupation and education? A1. Well, my dad has masters in business and he works with Gateway computers. Mom is a housewife; brother works at Boeing and got a degree from UCSD for management science and economics. Q2. Do you receive financial assistance? A2. No Q3.\r\n be there any plans of changing jobs to earn a little more income? A3. Well, I just recently got engage as a teacher and I have no plans for changing my career any time soon. Honestly, my husband makes bullion that is definitel y sufficient for our income, and I am very fortunate to find a successful man. Q4. Do you own or rent a house? A4. Eventually, we plan to own the new house we just moved into. Q5. How are living arrangements? A5. We currently own a home with 4 bedrooms, 3 bathrooms, a living room, dining room, loft, and patio. I love it here. We’re the only ones living in the house right since we just moved in.\r\nSo there is a lot of privacy and a lot of space. We are ready to start a family. XIII. Organizations providing cultural support Q1. Are there any organizations that provide cultural support for you or your family? A1. No, but I’m very interested in finding out every since I got married. XIV. Educational background Q1. retrace your educational background? And your husband? A1. I have a BS in production line Administration and my husband has a bachelor’s degree in cellular and molecular biology and in computer engineering, and masters in computer engineering. Q2.\r\n run along your parent’s educational background? A2. Dad †masters in business, mom has degree in psychology XV. apparitional affiliation Q1. What is your religious preference? A1. Hinduism Q2. severalise your religious background, beliefs, and practices. Does your family attend Church? A2. entrust in reincarnation and many gods, occasionally attend a temple. For the most part, since I’ve moved out and my husband is not that religious, I tend to practice Hinduism at home and when I’m with my family. My parents strive on religion and since I’ve moved out, I feel like I am not as active as I used to be.\r\nQ3. Is your fop/girlfriend the same religion as you, if any? A3. Yes, husband is same religion, but he doesn’t really practice any religious or spiritual activities. Q4. Is your girlfriend/boyfriend the same ethnic background as you? A4. Yes, he is also an American Indian Q5. Do you live in a neighborhood where the neighbors are the same rel igion and ethnic background as yourself? A5. No, diverse backgrounds in our flat complex Q6. Do you belong to a religious institution? A6. No, but I think it would be great if I was. Q7. Would you describe yourself as an active member?\r\nA7. No. But again, I think being newly married; I think that being religious and spiritual may be a good thing. It’s hard to find the time to participate in religious or spiritual activities, but being a new wife with a new home and job, I think it would be good for me. Q8. How often do you attend your religious institution? A8. Very seldom anymore. I used to with my parents. Q9. Do you practice your religion in your home? A9. Yes Q10. Are your friends from the same religious background as you? A10. No Q11. Are your friends from the same ethnic background as you?\r\nA11. No XVI. Cultural aspects of disease incidence Q1. What does your culture believe in when it comes to aspects of disease? A1. Disease and illness is often thought be caused b y our culture’s customs and beliefs. From weird forces to having excess human needs, individuals can be affected regardless of education and status in life. Some examples I can give you is eating too many candies can lead to ringworm, excessive sexual activity can cause tuberculosis, and diarrhea can be caused by not eating a well-balanced diet. Q2. Any cultural treatments? A2.\r\nSome like homeopathic medicines, herbal remedies, others like to mix religion with medicine and observe the patient with the natural environment. Q3. How does your culture view the occurrence of diseases? A3. If it’s a sexual disease it can be looked upon as disrespectful if you are unmarried. Q4. Are there any health problems that could affect your family now? A4. High blood pressure XVII. Biocultural variations Q1. Are you any other culture besides Indian? A1. No. Full American Indian. XVIII. Developmental considerations Q1. Describe family achievements and tasks fulfillment since your fam ily’s start? A1.\r\nMy parents’ best achievement, as they always tell me, was having me and my brother. early(a) than that, my family has not had hearty achievements. With a horse barn career and a good neighborhood, my parents have had a good life without changing their line of profession or participating in life-changing events. However, me and my brother graduated from college and have found successful careers. Even more so, I just recently got married and my parents are very proud of me to have found such a good man at the right time. Q2. How has your culture or ethnic identify affected fulfillment of achievements or failures?\r\nA2. Growing up, my parents always encouraged me to excel. The expectations of each member were high. From work to school to even household chores, my parents expected the best out of me. In our culture it is expected to always be at the top of your game. This makes you want to always strive for the best and reach for the stars. Q4. From your family’s first start, what health and health-related events and experiences have happened? A4. Well, since I got married, there haven’t been any significant health-related experiences to note. Yet, during my family’ first start, my dad recently had his cataracts taken out.\r\nOther than that, I have been sunny with a healthy family for the most part. Appendix B Plan of Care |Interventions |Rationales | |A. retain will determine spiritual state/motivation for growth by |A. primal religious training deeply affects children and is carried on | |ascertaining religious beliefs of family of origin and climate in which|into adulthood. Any conflict may family’s beliefs and client’s current | |client grew up. |learning may need to be addressed. | | | |B. Discuss client’s spiritual commitment, beliefs and values. |B. Enables examination of these issues and helps client learn more about| | |self and what he or she desires. | | | | |C. Nurse wi ll assist client to integrate values and beliefs to achieve |C.\r\n fit aware of how these issues affect the individual’s daily life| |a sense of wholeness and optimum balance in daily living by exploring |can enhance ability to incorporate them into everything he or she does. | |connection of desire to strengthen belief patterns and customs of daily| | |life. | | | | | |D.\r\nNurse will enhance optimum wellness by encouraging participating in |D. Encouragement allows individual to pursue what he or she wants and | |religious activities, worship/religious services, reading religious |referrals allow clients to become aware of what options are available. | |materials, etc and provide referral to community sources. | | ———————†Nursing Diagnosis:\r\nReadiness of deepen Religiosity related to life changes unessential to getting married, a new house, and a new job AEB by client’s desire to strengthen religious belief patterns and customs that had provided comfort in the past, request for assistance to increase participation in religious beliefs through prayer, and requests for referrals to religious affiliation. finis 2: Patient will acknowledge need to strengthen religious affiliations and become involved in spiritually based programs of own choice Goal 1: Patient will babble out willingness to seek help to regain desired religious beliefs and practices Interventions\r\n'