Highlights
Culturally safe care and communication is imperative to person’s having effective person/woman-centred care. Nurses and midwives are required to consider how they engage and will approach situations in which individuals have experienced previous harm. This harm may be related to healthcare, previous life trauma or generational behaviours. The use of person/woman-centred therapeutic skills in integral to providing safe care that aligns to the registered nurse/registered midwife standards for practice. The use of the case study below allows students to consider how they will approach situations where individuals are reluctant to seek care.
Scenario 1
Leo is a 50-year-old man living in your local community. Leo has a past history of Type 2 Diabetes, Coronary Artery Disease and Hypertension. Leo is a First Nations gentleman and lives with his wife and three children (aged 12 – 20). Leo disengaged from healthcare due to a previous bad experience where he felt judged due to his cultural background. He has heard that you are a new nurse working in his area and has been convinced by his wife and children to attend for a health check-up and care plan.
1. Discuss how you will utilise communication, cultural sensitivity and safety to develop a therapeutic relationship with Leo, using knowledge of communication and culture gained from this
2. Discuss the therapeutic communication tools (verbal and non-verbal) that you will utilise to develop a connection with Leo. How will these aid in effective communication?
3. The discussion should also include key information and requirements for documentation of your nursing interaction with Leo and justification for your choices.
4. Utilise scholarly resources to support your points within the essay
5. Read the following instructions for writing an essay:
Scenario 2
Read the following case study and respond to the points given below;
You are working in a community antenatal clinic and have a new client appointment this morning with a 22 year-old First Nations woman Alira who is approximately 28 weeks pregnant with her first baby. She has not had any previous antenatal visits and has been referred to you by her GP after she presented with symptoms of a UTI. The GP has conducted some preliminary blood tests to confirm Alira's pregnancy and immune status and estimated that she is 28 weeks pregnant.
The medical history notes that Alira is a fit and well young woman with no previous significant medical or surgical history. When asked by the GP about antenatal care and plans for her birth she had said that her sister gave birth in mid-2020 and had been forced to be separated from her partner and family for 2 and a half weeks around the birth of her baby and gave birth alone in a city hospital. She was very traumatised by the experience and encouraged Alira to avoid hospitals and check-ups in case something similar might happen to her. The GP has managed to convince Alira to attend a midwifery antenatal visit with the reassurance that it is not in a hospital, they can make sure that baby is growing well and that it is her choice whether she attends any further appointments.
1. Discuss how you will utilise communication, cultural sensitivity and safety to develop a therapeutic relationship with Alira, using knowledge of communication and culture gained from this unit.
2. Discuss the therapeutic communication tools (verbal and non-verbal) that you wil utilise to develop a connection with Alira. How will these aid in effective communication?
3. The discussion should also include key information and requirements for documentation of your midwifery interaction with Alira and justification for your choices.
4. Utilise scholarly resources to support your points within the essay
5. Read the following instructions for writing an essay:
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