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Transcultural Perspectives in the care of Older Adults Discussion.

Transcultural Perspectives in the care of Older Adults Discussion.Transcultural Perspectives in the care of Older Adults Discussion.Read chapter 7 of the class textbook and review the attached PowerPoint presentation.  Once done, read the following clinical case below and answer the questions;Diabetes has been emerging as a major public health concern among Native American communities in the United States for the past 40 years. The Pima Indians in Arizona currently have the highest recorded prevalence of diabetes in the world. On average, American Indian and Alaska Native adults are 2.6 times more likely to have diabetes than non-Hispanic Whites of similar age. Diet is a key factor in controlling blood glucose levels and preventing serious cardiac, renal, peripheral vascular, and retinal complications such as heart attacks, renal failure, limb amputations, and blindness.Transcultural Perspectives in the care of Older Adults Discussion.ORDER A PLAGIARISM-FREE PAPER HEREAn Indian Health Service (IHS) nurse visits a patient in her mobile home, located on an Arizona Indian reservation. The patient is a 72-year-old, obese, female Pima Indian with a blood glucose level of 280. She is at risk for serious complications of type 2, or non–insulin-dependent, diabetes mellitus. With type 2 diabetes, the body either resists the effects of insulin or doesn’t produce enough insulin to maintain a normal blood glucose level. The patient lives with her adult daughter, two grandchildren, and five great-grandchildren. The nurse’s goals are to use culturally appropriate diet education to repattern the patient’s eating habits for the purpose of reducing the blood glucose level to normal (between 70 and 110 mg/dL); promoting steady sustained weight loss (5 pounds per week); encouraging increased exercise and activity. The nurse also asks the patient to participate in group sessions at the Pima Community Center focused on healthy food preparation and eating a balanced meal.Transcultural Perspectives in the care of Older Adults Discussion.If you were a nurse who just began doing home health care on the Pima Reservation, how would you learn about the specific cultural beliefs and practices related to nutrition and diet for this patient as a member of the Pima Indian Nation, versus stereotypes about the diet of Native Americans in general?Given that the patient’s family doesn’t own a vehicle, how will you encourage her to shop for healthy foods, prepare them, and actively participate in weight loss and exercise programs held free of charge at the Pima Community Center?How would you assess the patient’s eating habits, for example, type of food, method of preparation, amount eaten, etc.?Each of the patient’s children, grandchildren, and great-grandchildren is obese. How would you involve the patient’s family in the plan of care and motive them to lose weight as well?APA format word document, Arial 12 font, A minimum of 700 words is required(excluding the first and reference page).Transcultural Perspectives in the care of Older Adults Discussion.19FALLF-NUR3655-DL-AD – CULTURE IN NURSING-DL-AD EDDIE CRUZSafeAssign Exercise Week 8Lilisbet Alonso Fuentes on Wed, Oct 23 2019, 8:25 PM 30% highest matchSubmission ID: a3427d67-6ce2-4430-acff-cf5ce711ece3· TransculturalPerspectiveDQ8.docxWord Count: 1,236Attachment ID: 225918541630%Citations (13/13)Transcultural Perspectives in the care of Older Adults Discussion.1. 1Another student’s paper 2. 2 3. 3Another student’s paper 4. 4Another student’s paper 5. 5 6. 6 7. 7Another student’s paper 8. 8Another student’s paper 9. 9Another student’s paper 10. 10Another student’s paper 11. 11Another student’s paper 12. 12Another student’s paper 13. 13Another student’s paper Running head: TRANSCULTURAL PERSPECTIVES IN OLDER ADULTS HEALTHCARE 1TRANSCULTURAL PERSPECTIVES IN OLDER ADULTS HEALTHCARE 2Transcultural Perspectives in Older Adults Healthcare Lilisbet Alonso1 Florida National UniversityNursing DepartmentBSN ProgramNUR 3655 Culture in NursingProf. 1 Eddie Cruz, RN MSNOctober 23rd, 2019Transcultural Perspectives in Older Adults HealthcareIntroductionEthnogenic issues in healthcare are deep-rooted in the cultural perspective, which includes both foods and way f life. As a result, there is a sense of accountability and responsibility that is taken into consideration when looking at the overall definition of key indicators in that society. In this way, it becomes easier to identify specific demographic characteristics that can be used for more evidence-based practice hence a more systemic approach in the differentiation of approach by age, gender, hierarchy and societal divisions. This is because, these are identifiable issues that often affect nutrition, assumptions in healthcare practice and fears associated with perceived view on healthcare in general for the specific target groups. Transcultural Perspectives in the care of Older Adults Discussion.. This paper will look at the transcultural perspectives of healthcare in older adults within the Pima Indians community especially with regard to diabetic and related health complications. By looking at the stereotypes within this society, the paper addresses the view of the community towards management and living with diabetes as part of the nursing and healthcare management planning efforts. In this way, it will look at the community education, the family setting, the sensitization to food and nutrition, and the awareness of hereditary factors when it comes to diabetes and its identification and management (Adler, 2004). Transcultural Perspectives in the care of Older Adults Discussion.Learning the Cultural belief ad Practises in Nutrition and DietAs a nurse just assigned to the healthcare of the Pima Reservation community, the first aspect is to take the living conditions as part of an overall assessment for an ethnographic study. In the older age demography, the main issue of concern is to respect; this allows the collaboration of the community especially since in this community the older the person is the wiser they are considered to be (Seegert, 2014). Therefore, learning about nutrition is first to find out what the individual likes taking more. In asking the questions, it becomes easier to identify the nutritional value of the types of food that they take and in that way categorization of the gaps in their diet. Direct questioning gives the patients a sense of respectability of their opinion and views which gives more motivation for the cooperation. In addition, in this community, there is great respect for the traditional healer. Transcultural Perspectives in the care of Older Adults Discussion.As a result, cooperation with the healer will help in the identification of common practices that are done by the elderly, data on common ailments, and the types of suggestions and ‘cures’ that are givens. In this way, there is more cooperation in the way of life and identification of key indicators of the most probable countermeasures on the main ailments. By taking into account, the elderly views and the views of the ‘healer’ there is additional data that can be used in direction of a specific question to the caretakers of the elderly within the community. This can be done through participation in the communal events, actively getting involved in gatherings and communication with the females and young girls who are responsible for most of the cooking within the community. This becomes a process of integration of the modern healthcare and evidence-based nursing to the existing systems of management in the community as part of the practice and policy change and development (Booth, Nourian, Weaver, Gull, & Kamimura, 2017). Transcultural Perspectives in the care of Older Adults Discussion.Sensitization on Diabetic Diet and Exercising ManagementThe Pima Community are proud of their identity as groups, which means that community service is valued above individualism and thus a tool that can actively be used in helping the elderly. Therefore, the participation of the family is important in support of the elderly grandmother. Using the grandchildren, assigning tasks in cooking, in shopping, and in the identification of alternative types of food grown within the community is one of the main objectives. Finding someone in the community who would supply is essential, as it will be a constant supply and thus a well-developed system of nutritional management. However, in terms of exercising, it is hard to change norms over time, this means that the aspect of respectability within the community of the elderly and the older way of life can be used. Having the grandmother walk a distance every day to a designated area to get involved in teaching the younger generation of a particular practice such as education of the area will be a part of exercising routine as well as an awareness session that is involving. Transcultural Perspectives in the care of Older Adults Discussion.Eating Habits AssessmentTwo methods would be effective in this setting when it comes to the eating habits assessment of the elderly woman. The first is using the designated carer in the family to have a subjective measure, often can use one specific food container to understand the daily intake. In this way, there is a record of intake that can be subjectively measured. As a result, when intake is less than normal, the subjective measure can be understood and easily remembered. At the same time, having the caretaker and the grandmother develop a predefined format, there is cooperation in the remembering of the frequency of food intake, the amount that was taken and thus cooperation that can easily be recorded at least in every monitoring visit (Shim, Oh, & Kim, 2014). Transcultural Perspectives in the care of Older Adults Discussion.Family Participation in Diet managementOne way that exercising can be a habit within the family is the simple walking by assigning each member of the family a day to walk with the grandmother. In this way, there is direct involvement each day and thus active participation at least twice a week for each member. At the same time, the children have to go to school daily, meaning that walking to school can be encouraged, or coming from school on foot. In this way, there is at least a daily mandatory simple exercising for each of them. In addition, setting up a community forum where all youths within the community can participate in different activities would help in encouraging socializations well as an active life for the children. It will be an indirect involvement as a means of management of weight using existing community networks (Faller & Marcon, 2013). Transcultural Perspectives in the care of Older Adults Discussion.ReferenceAdler, R. (2004). 2 Introduction to Cross-Cultural Health Care for Older Adults. In R. Adler and H. Kamel (Eds.) Doorway Thoughts: 2Cross-cultural Health Care for Older Adults. Boston: 3 Jones and Bartlett Publishers. 4 Booth, C., Nourian, M., Weaver, S., Gull, B., & Kamimura, A. (2017). 5 Policy and Social Factors Influencing Diabetes among Pima Indians in Arizona, USA.  6 Public Policy and Administration Research 7, 35-39. Faller, J. 7 W., & Marcon, S. S. (2013). 7 Health care and socio-cultural practices for elderly patients in different ethnic groups.  8Escola Anna Nery Revista De Enfermagem 17(3), 512-519.  9Retrieved from, L. 3 (2014, September 4).  10 Cultural perceptions of aging affect health status, caregiving. Covering Health. 11 Association of Health Care Journalists.  12 Retrieved from Shim, J. S., Oh, K., & Kim, H. C. (2014). Dietary assessment methods in epidemiologic studies. Epidemiology and health, 36, e2014009. DOI:10.4178/epih/e2014009. 13 Retrieved from Perspectives in the care of Older Adults Discussion.

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