Post A
- Upon reading the case study of Mr. Yamamoto and viewing Redman’s Instructional Methods I feel the best method that could be used for Mr. Yamamoto and his family would be interactive peer teaching. With how involved the patient’s family is this method would be suitable as it would allow for input from family members. The careful planning and monitoring would be important as many opinions on the patient’s plan of care may arise and they may not all match. In the Japanese American culture it is said that one may take it as insulting if the patient’s family is not included in the plan of care (NurseKey, 2019). The idea of keeping a bedside vigil for an ill one is a popular belief and tradition of the Japanese American culture, so the nurse should take this into consideration in order to avoid showing any signs of disrespect toward the patient or family. On the opposite spectrum while the family is very involved, it is also said that Japanese Americans believe in the idea of Omakase, which is the concept of the patient placing their trust in the physician or nurse and allowing them to take control (NurseKey, 2019). The nurse should consider asking what the family prefers and how involved they wish to be. In regards to dietary considerations the nurse should be mindful that in the Japanese culture they prefer to take care of their family members, therefore any food they provide to the patient should be accepted.
References:
Japanese americans. (29 December 2019). NurseKey. https://nursekey.com/japanese-americans/
Post B
After reviewing the assigned case study and Redman’s Instructional Methods, I’ve decided that the most effective instructional method for my patient would be laboratory experiential instructional method. I think this method would be best for my patient because it requires careful planning and evaluation with the patient in a realistic setting (Redman, 207). I would be able to sit down with her to assess her cultural beliefs and level of understanding of postpartum and breast cancer. Once the assessment is done, I would plan the best teaching plan that will be easy for her to understand the education that she needs to become successful with the treatment plans. During the planning process, I would be able to identify my patient’s strengths and areas that needs improvement. I am also listening to her feedback and trying to understand her values, and beliefs and deciding how I can accommodate for her, so she feels comfortable.
The traditional Chinese medicine states that our bodies have a “hot” and “cold” nature and must be balanced in order to remain healthy (Liu el at., 2017). It is believed that giving birth makes the body “cold” for the first month of postpartum (Liu el at., 2017). After doing some research, I’ve learned that the first 30-40 days of postpartum, the mother must stay in bed and rest as much as possible (Liu el at., 2017). As a nurse, I would try to accommodate for my patient by negotiating a plan where the patient should at least get a total of 15 to 30 minutes of walking a day in small increments. It is also very important for the mother and the newborn to stay warm, so their bodies return to their normal balance (Liu el at., 2017). I would provide warm blankets and make sure the room temperature is set to her preference. Mothers are forbidden to wash their hair, go outside into the cold air, or consume cold or raw foods (Liu el at., 2017). I would allow my patient to not wash her hair and provide warm wipes if she decides to clean herself up. Their postpartum diet consists of lightly cooked vegetables, ginger, bone broths, fruit, liver, rice, and cooked free-range chicken and eggs (Liu el at., 2017). I would make sure that the she only receives hot foods when she gets her meal tray. I would also bring room temperature water. Lastly, I would do my best to make sure the maintain a quiet and peaceful room for her so she can focus on getting better.
Also, I am concern that my patient will blame herself for getting breast cancer because she would probably think she must of did something to create then imbalance of her body. She would may think that the pitchers of iced water may have something to do with her cancer. I would sit down and explain that it is no one’s fault, and that breast cancer takes a while to develop. I would provide information about different options for treatment and support groups that may help her with processing her diagnoses. I would do everything I can to make sure that I am respecting her beliefs, so she is comfortable.
References
Liu, Y. Q., Petrini, M., & Maloni, J. A. (2017). “Doing the month”: postpartum practices in chinese women. Nursing & Health Sciences, 17(1), 5-14. doi:10.1111/nhs.12146
Redman, B. K. (2007). The practice of patient education: a case study approach (10th ed.). Mosby Elsevier
