NCLEX Question
The nurse is preparing a client for an echocardiogram and notes that the client is
wearing a religious medal on a chain around the neck. What should the nurse do with
regard to removing this personal item from the client?
Patients are frequently asked to remove personal items from their bodies prior to
specific diagnostic procedures. Because a religious medal may have cultural or spiritual
importance for the patient, the nurse should talk about it first with the patient. The nurse
must also decide whether the medal may jeopardize the patient's safety or the outcome
of the test. If this is the case, the nurse should ask the client if the object can be
temporarily removed or transferred to another region of the body while the treatment is
being performed.
Evaluation of Chronic Low Back Pain
It is very evident that chronic low back pain is common in the United States. Low
back pain often involves overlapping different types of pain such as nociceptive,
neuropathic, and nociceptive or non-specific pain. The components that make up the
lumbar spine like soft tissues, spine, junctions, sacroiliac joints, intervertebral discs, and
neurovascular structure are susceptible to a variety of stressors and may contribute to
low back pain alone or in combination. Diagnosis of this condition remains controversial
due to the many factors associated with low back pain and the low specificity of imaging
and diagnostic injections. It is assumed that you need to carefully plan out and consider
talking to your healthcare provider when you do. Treatment relies primarily on the
classification of pain and usually begins with self-care and medication combined with
non-pharmacological methods such as different physical and psychological treatment
appropriate for patients. For refractory low back pain, extensive non-surgical epidural
steroid injections and spinal cord stimulation for neuropathic pain and high frequency
ablation and intra-articular steroid injections for mechanical pain and surgical
decompression for neuropathic pain, disc replacement, and fusion are available for
mechanical reasons. Low back pain is a dynamic interaction between social,
psychological, and biological elements that can both predispose to and result from
injury, according to the biopsychosocial model, and should be taken into account while
developing interdisciplinary treatment regimens. Different treatments for chronic low
back pain are also available such as Nonsteroidal Anti-Inflammatory Drugs like Salicylic
Acids, Acetic Acids, Oxicam, Propionic Acids, Anthranilic Acids, and Nonacidic Agents.
Cultural Competence in the Care of Muslim Patients and Their Families
It is the responsibility of a nurse to be culturally competent when delivering care
for their patients. Understanding the distinctions in cultural and spiritual beliefs is
necessary for providing high-quality care to Muslim patients. Diet, modesty,
confidentiality, contact limitation, and alcohol consumption are all significant variations.
Muslims make up a significant share of the world's population and are the fastest
growing religion. Demonstrating a culturally competent understanding of Islamic beliefs
will aid all healthcare practitioners to provide proper and culturally competent care. The
Muslim community may be more susceptible to a variety of ailments as a result of
perceived limitations in medical care. These constraints could include healthcare
practitioners' gender preferences and misunderstandings about what causes specific
illnesses. As a result of Islamic cultural ideas and practices, some constraints may
arise. Other obstacles may develop as well as a result of the health-care system's
diversity and a scarcity of culturally competent medical services and experts. Because
health is so important in Muslims, taking care of one's health is a religious obligation.
Spiritual values are an important part of some Muslims' health beliefs, hence spiritual
demands may take priority over biological needs. Muslim patients' perceptions of
healing may be influenced by their religious beliefs. Except in emergency instances
where immediate life-or-death intervention is required, gender-concordant treatment can
generally be delivered. Hospitals have a history of respecting patient choices and
making room to suit patient’s spiritual requirements when it comes to meal preparation.
Food services that offer Kosher or vegetarian options should be considered by the
healthcare administration. With all things considered, it is vital that every healthcare
professional should demonstrate cultural competence when administering care for
diverse patients to provide the excellent and quality care service that they deserve.
Write a note titled cultural competence and describe how you will address the cultural
needs of Omar Tahiil Bashir.
As a nurse, I will address the cultural needs of Omar by being culturally competent and
aware of his religious beliefs and understand the cultural limitations when providing
care. I will make sure that I am accommodating not only Omar but his family as well and
making sure that they have a comfortable experience in the hospital. I will avoid being
judgmental and shouldn’t have any personal prejudice or bias towards Omar. I will be
respectful and be aware of the distinctiveness of Omar’s special needs whether it be
food accommodations or medication administration.