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Published byVernon Curtis Modified over 8 years ago
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Culture & Ethnicity
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Culture Socially transmitted knowledge of values, beliefs, norms, and lifeways of a particular group that guides their thoughts and behaviors— (Purnell and Paulanka, 1998 & Leininger 2002a)
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Visible and Invisible Components Visible — easily seen Clothing, jewelry, charms, hairstyles Invisible — less observable Value belief system that drives visible practices
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Cultural Processes Enculturation Acculturation Assimilation Biculturalism
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Transcultural Nursing Comparative study of cultures to understand similarities and differences across human groups— (Leininger,1991, 2002a)
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Cultural Competence Cultural awareness Cultural knowledge Cultural skills Cultural encounters Cultural desire
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Cultural and Life Transitions Pregnancy Childbirth Newborn care Postpartum Grief and loss
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Cultural Assessment Cultural identity/ethnohistory Biocultural history Social organization
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Cultural Assessment (cont.) Language and communication Religion and spirituality Caring beliefs and practices Experience with health care system
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Nursing Decision and Action Modes Cultural care preservation or maintenance Cultural care accommodation or negotiation Cultural care repatterning or restructuring
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Self-Concept
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How one thinks and feels about oneself Development of self-concept is a complex, lifelong process
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Components Identity Body image Role performance Self-esteem
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Role Performance Behaviors Reinforcement-extinction Inhibition Substitution Imitation Identification
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Self-Concept Stressors Identity stressors Body image stressors Role performance stressors Conflict Ambiguity Strain Overload Self-esteem stressors
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Effects on Self-Concept Family Nurse
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Assessment Coping behaviors Significant others Client expectations
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Nursing Diagnoses Examples Impaired adjustment Ineffective coping
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Planning Goals and outcomes Priorities Continuity of care
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Implementation Health promotion Acute care Restorative care
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Evaluation Client care Client expectations
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The Experience of Loss, Death, and Grief
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Grief Mourning Bereavement
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Theories of Grief Kubler-Ross’s stages of dying Bowlby’s phases of mourning Worden’s four tasks of mourning Application of theories to other types of loss
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DENIAL ANGER BARGAINING DEPRESSION ACCEPTANCE Kubler-Ross Stages of Dying
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Types of Grief Anticipatory grief Complicated grief Disenfranchised grief
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Assessment Type and stage of grief Grief reactions Factors that affect grief End-of-life decisions Nurse’s experiences Client expectations
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Factors Influencing Loss and Grief Human development Psychosocial perspectives Socioeconomic status Personal relationships Nature of the loss Culture and ethnicity Spiritual beliefs
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Nursing Diagnoses Anticipatory grieving Dysfunctional grieving Hopelessness Powerlessness Spiritual distress
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Planning Goals and outcomes Setting priorities Continuity of care
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Implementation Therapeutic communication Promoting hope Facilitating mourning Postmortem Care
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Palliative Care Symptom control Maintaining dignity and self-esteem Preventing abandonment and isolation Providing a comfortable and peaceful environment
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Supportive Care Support for the grieving family Hospice care Care after death (postmortem care) Grieving nurse
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Evaluation Client care Client expectations
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Sexuality
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Sexual Development Infancy and early childhood School-age years Puberty/adolescence Young adulthood Middle adulthood Older adulthood
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Sexual Response Cycle Desire Arousal Orgasm
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Sexual Orientation Heterosexual Homosexual Bisexual
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Contraception Nonprescription methods Abstinence Barrier methods Timing methods
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Contraception (cont'd) Prescription/health care intervention methods Hormonal Intrauterine devices Diaphragm/cervical cap Sterilization
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Sexually Transmitted Diseases Syphilis Gonorrhea Chlamydia Trichomoniasis Human papillomavirus (HPV) Herpes simplex virus (HSV)
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Sexually Transmitted Diseases (cont'd) Human immunodeficiency virus (HIV) AIDS Transmission Exposure categories Education
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Sociocultural Influences on Sexuality Pregnancy and menstruation Discussing sexual issues
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Decisional Issues Related to Sexuality Contraception Abortion STD prevention ARE WE HONEST WHEN WE TALK ABOUT THIS!!!!
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Alterations in Sexual Health Infertility Sexual abuse Personal and emotional conflicts Sexual dysfunction
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Assessment Factors affecting sexuality Sexual health history Sexual dysfunction Physical assessment Client expectations Nursing diagnosis
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Planning Goals and outcomes Priorities Continuity of care
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Implementation Health promotion Acute care Restorative care
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Evaluation Client care Client expectations
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Spiritual Health
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Caring for the whole person Accepting beliefs and experiences Helping with issues surrounding meaning and hope
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Framework of Systemic Organization Maintenance Change Coherence Individuation
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Traditional Concepts Spirituality Faith Religion Hope
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Problems—Spiritual Distress Acute illness Chronic illness Terminal illness Near-death experience
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Assessment JAREL spiritual well-being scale Faith/belief Life and self-responsibility Life satisfaction Culture Fellowship and community Ritual and practice
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Assessment (cont’d) Vocation Client expectations
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Nursing Diagnoses Spiritual distress Readiness for enhanced spiritual well-being Fear Hopelessness
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Planning Goals and outcomes Setting priorities Continuity of care
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Implementation Establishing presence Supporting a healing relationship Support systems Diet therapies Supporting rituals Prayer Meditation Supporting grief work
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Evaluation Client care Client expectations
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Loss Actual loss Perceived loss Maturational loss Situational loss
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