The relationship between the practice framework and the nursing process
The initial interview with the client is critical. All too often, nurses simply ask the patient about immediate symptoms or lifestyle practices. Cultural negotiation requires acting 'why' -- for example, WHY is a client not taking his or her medication, exercising, or eating certain foods. Client's presumptions of health and client health literacy are part of the patient's culture and must affect the treatment process.
The applicability or adaptability to clients of various ages in various health states
The multigenerational nature of nursing care makes cultural negotiation all the more important: first and second generation immigrants will often have a different cultural perspective upon health and wellness than their children. Age is part of the individual's culture, as well as heritage, and every life stage itself is a kind of 'culture.'
Summary
A client's culture is part of his or her state of health: assumptions about...
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