Cultural Diversity Case Study
Read the attached case study and then review the attached article ” Formulation of
a plan of care for culturally diverse patients” Use the case study and the article to develop a care
plan for Mr. Rivera. Your nursing diagnosis needs to be chosen from the list of nursing
diagnoses on page 23 of the article.
Use the attached care plan template to complete your care plan. You should have
subjective/objective data to support your nursing diagnosis. You should also have one nursing diagnosis, one long-term goal, one short-term outcome, and three interventions to achieve your outcome. You will not be able to actually implement your interventions with Mr. Rivera, so think about how you would theoretically evaluate your short-term outcome for Mr. Rivera if you were able to implement your interventions. Then, for the evaluation section, discuss how you would evaluate the achievement of your outcome if you were able to actually implement your care plan. (You will have three parts to this section, one that describes how you would know you had met your outcome and then one describing how you would know if you had not met your
outcome. The third part describes what you would do to modify your care plan if you met the outcome and also how you would modify it if you did not meet your outcome.)
Read the attached case study and then review the attached article ” Formulation of
a plan of care for culturally diverse patients” Use the case study and the article to develop a care
plan for Mr. Rivera. Your nursing diagnosis needs to be chosen from the list of nursing
diagnoses on page 23 of the article.
Use the attached care plan template to complete your care plan. You should have
subjective/objective data to support your nursing diagnosis. You should also have one nursing
diagnosis, one long-term goal, one short-term outcome, and three interventions to achieve your
outcome.
You will not be able to actually implement your interventions with Mr. Rivera, so think about
how you would theoretically evaluate your short-term outcome for Mr. Rivera if you were able
to implement your interventions. Then, for the evaluation section, discuss how you would
evaluate the achievement of your outcome if you were able to actually implement your care
plan. (You will have three parts to this section, one that describes how you would know you
had met your outcome and then one describing how you would know if you had not met your
outcome. The third part describes what you would do to modify your care plan if you met the
outcome and also how you would modify it if you did not meet your outcome.)
Transcultural Nursing Case study (1).docx
Care Plan Template.docx
Cultural Diversity.pdf
Cultural Diversity Case Study
You are a nurse working in a health clinic. Mr. Rivera is coming in to be seen because
he has not been feeling well. Mr. Rivera had been to the clinic several years ago, as it
was used with positive results by another Hispanic relative. He is well groomed,
appropriately dressed for the weather, and appears to be younger than his stated age.
He is 68” tall and is 180 pounds. His adolescent grandson was to accompany him;
however, he had difficulty awakening at 9 a.m., so Mr. Rivera came to the appointment
alone. You greet Mr. Rivera, shake his hand, and escort him to a private room. A
standard practice in the clinic is to obtain vital signs on all new clients. Mr. Rivera
participates in this process with no apparent hesitation. His blood pressure is 136/72,
heart rate is 84 bpm, respiratory rate is 16, temperature is 98.6 F, and pulse oximetry is
95% on room air. When asked about the presence and rating of pain, there is a moment
of silence and you follow with the questions in Spanish, and Mr. Rivera nods “yes.”
When asked where, the client holds his hand over the left chest and his facial
expression is one of sadness. Finally, you ask in Spanish for a pain rating and are told
“10.” With assistance from the clinic’s interpreter, you learn that Mr. Rivera’s pain rating
is heartache associated, not cardiac in origin. He denies pain anywhere else.
You ask Mr. Rivera about his home situation and learn that he emigrated to the United
States from Mexico less than 10 years ago. In his apartment reside his mother, sister,
daughter-in-law, and two grandchildren. The grand-sons and their mother are fluent in
English; the others speak Spanish exclusively to one another. His only son, who also
lived with the nuclear family, died in a tragic accident last month. Mr. Rivera explains
they were best friends and depended on one another for emotional support. In addition,
the loss of income (and no life insurance) has worried the women in the family. Mr.
Rivera’s mother is 87 years old and is bedbound from a variety of chronic illnesses. His
sister attends to her toileting and bathing needs, and he assists with feeding, turning,
medication administration, and trying to keep her comfortable in general. He shares that
since his son’s death, he has not been sleeping at night and fatigue has made him
irritable toward family members. He reports that he has been seeing a curandero who
recommended he use herbs for his depression, so Mr. Rivera has been using damiana.
He has a history of hypertension and uses garlic to control it. He is a non-insulin-
dependent diabetic and self-monitors glucose levels, which have been erratic the past
month. He takes metformin to manage the glucose levels. He states that they eat a
traditional Mexican diet at home and rarely eat out.
He reports no changes to his vision and does not wear glasses. He states occasional
numbness in his feet but your physical assessment findings are all within normal range.
You administer the Spanish version of the Geriatric Depression Scale and finds Mr.
Rivera scoring a “9,” indicative of depression. You inquire about suicidal ideation, and it
is denied firmly. As far as past coping mechanisms, Mr. Rivera states talking, joking,
and just spending time with his son was always used successfully in times of stress or
grief.
The clinic has a group therapy session for male Hispanics, which Mr. Rivera turns
down. He states that he has been attending an early morning Catholic mass at a parish
in the neighborhood, stating “going each Sunday gives me a little comfort, so perhaps
more often would be beneficial.” Mr. Rivera asks about medication for depression and
you review the antidepressant options with him. You discuss Zoloft (sertraline), which
the clinic uses regularly for the reduced rate at which they can purchase it. You include
a description of the side effects and mention erectile dysfunction as a possibility, Mr.
Rivera says “No, no, no.” You discuss other coping methods with Mr. Rivera and
recommend that he come back to the clinic in two weeks to follow up.
Expert Solution Sample: Cultural Diversity Case Study