In general taking medication is not my cup of tea. I rarely take any medications unless I need to. This has been influenced greatly by my culture and how I grew up. My parents do not like taking medication either. For most of childhood, medication was usually honey, garlic and ginger in hot water. I would drink this every time I was feeling unwell and I felt better almost every time. As a result, I followed my parents’ footsteps and to date I still make the same mixture and if I do not feel better, I consult my physician. Regardless, I always take my medications as prescribed by my physician. Due to my personal experience, I can relate to patients who feel as though they do not need to take medications because of their cultural background. This is why I believe it is important to ask out their medication taking experience including their cultural values that may affect the patient when caring out a patient assessment.
I would first acknowledge the fact that the patient’s religion is really important and that it plays a significant role in the medication taking experience. I would try and talk to the patient and come up with different options that would work for the patients as opposed to discontinuing the treatment. Based on my experience working with the Somali population, I am aware of the different options available for people fasting. I will also consult with another pharmacist to come up with the best options for the patient. One option would be to change the
During my assessment I used the “Seven principles of good prescribing” to aid my decision making (National Prescribing Centre (NPC) 1999). This structured framework allows the prescriber to assess all appropriate factors and problems and make an informed decision whether to issue a prescription or discuss other options with the patient Humphries (2002). Examples of these options would be offering advice about their condition/problem or informing them that the treatment/items they require would be cheaper over the counter, thus making optimum use of the NHS budget, Prescription Pricing Authority (PPA) (2003).
Traditionally, pharmacists had no power of questioning any order made by the physician. It was also stated that a pharmacist had no power of advising the patient on the usage of medication. Currently, pharmacists have been given more power and therefore have the mandate of questioning any prescription from the physician. It has been observed that pharmacist can today share information with the doctor and ensure that patients get the right medication. Laws have allowed pharmacists to be consulted on some medications by patients, allowing patients to trust pharmacist on some simple questions that they do not need to visit their doctor. Pharmacists play a significant role in advising the patient today on the type of medication they are taking they are also held to the same standard when it comes to rules and
The National Prescribing Centre recognize some fundamental differences in the absorption, distribution and excretion of medicines between adults and children. The differences are published in the National Prescribing Centre’s bulletin, produced by
Certainly there are a lot of cultural and ethical barriers affecting people behavior in taking their medication. As for Matthew, being an American Indian male has already been exposed to their traditional remedy. So having that in mind I will think that the provider needs to be cultural sensitive and try to work with him. The use of appropriate techniques
Patients and their families bring culturally specific beliefs regarding the ideas about health and illness, reporting symptoms, expectations for the delivery of health care, and views about medication and treatment. A culturally sensitivity individual recognizes the differences between cultures and accepts them. Healthcare providers are urged to recognize, respect, and integrate clients' cultural beliefs and practices into health prescriptions (Purnell, 2005, p. 8). A failure to appreciate these differences may cause a misunderstanding or miscommunication about healthcare. Language is the foundation for effective nurse-patient relationships and is important for interpersonal and cross-cultural communication.
Cultural competency is an essential skill for family physicians because of increasing ethnic diversity among patient populations. Culture, the shared beliefs and attitudes of a group, shapes ideas of what constitutes illness and acceptable treatment. A cross-cultural interview should elicit the patient’s perception of the illness and any alternative therapies he or she is undergoing as well as facilitate a mutually acceptable treatment plan. Patients should understand instructions from their physicians and be able to repeat them in their own words. To protect the patient’s confidentiality, it is best to avoid using the patient’s family and friends as interpreters. Potential cultural conflicts between a physician and patient include differing
A hypothesis about the key issue would be that inappropriate administration of medication can increase the likelihood for medication noncompliance. As a fourth year student, I have learned much from my psychology minor in regards to medication issues and compliance; however have limited experience with psychiatric patients in my clinical practicum. I am also aware and practice the eight rights of medication administration. I am also aware that a nurse should watch patients swallowing medication. Despite this, as a nursing student that is training to become a registered nurse, I found myself in a situation of distraction and confusion. I had thought that water was available at her bedside as I had refilled her cup earlier. Assuming there was
Never provide medication to a Muslim patient that contains any source of alcohol or pork, this is forbidden in the Islamic religion. When dealing with a stay in patient that is Muslim, all meals should be Muslim Halal, similar to Kosher meals, if Halal isn't available in the kitchen, Kosher meals are acceptable. Allowing family to stay and visit even past visiting hours is part of their way of healing, and provides an emotional security between both the patient and the family member as well as the caring
Considering I usually care for adults aged 18 and up, while caring for this patient I changed my approach. Due to the age of this patient, I found myself explaining the plan of care not only to the patient but to his mother as well. I have conflicting views on the child’s treatments and had set my beliefs aside; as I know that ethnocentrism is not effective in the nursing care. The interventions I used with this patient were given without judgment, simply discharge orders suggested by the doctor and medication education. In this case, I had to explain to the patient and his family that the doctor felt the herbs the child was taking, could possibly be causing him harm. I explained that the herbs may have resulted in a higher than normal pulse, which is hard on his heart and not supplying proper blood flow throughout the body which in turn decreases the oxygen saturation level. By asking the family to discontinue the child’s herbal medicine, I felt I was going against their cultural beliefs.
Bring your medications: At times patients and families place the wrong medications in bottles and take something that they should not be on, or omit something that they should be takin.
Counseling a patient on things to avoid when taking medications is important because some substances we eat or drink might interact with the medications we taking, even with things we do not expect to interact such as the ineteraction of atorvastatin ( a lipid lowering drug) with grapefruit juice and the interaction of certain antibiotics such as the quinolone class of antibiotics with
The intended use of medications is meant to improve a person’ health, it is very important the individual administering medication or self-medicating use the drugs correctly, by following the doctors’ instruction for the medication prescribed. Medication is given to diagnose, treat, and prevent illness. Medication can be very dangerous, which can potentially cause harm or even deaf if it’s not used properly.
The general public also needs to be educated with the help of out-reach programs which will specifically target minority groups who are affected by the factors stated above. There is also a need to improve communication between the health care providers and the patients in order to better educate the patients about their health conditions, the risks associated with their illnesses, and the resources available which would provide them essential help needed for their overall health. Some patients decline to take certain medications due to cultural biases and perceptions, so providers need to be aware of the cultural differences and respectfully try to diminish the misconceptions related to western medication. And if patients still persist to decline medication, then alternative treatment plans should be provided. Patients that are genetically disadvantaged or have chronic diseases need to be provided with better self management options by providers due to the fact that, many patients like to self manage their diseases. So educating them better about their diseases will lead to improved self management and overall
Over the years I have problems heard some one discuss that with me all most everyday about take medication. In the beginning I thought this is a personal choice. The more I educated myself and got to the client and establish a rapport with her/him. I found out something about medication so I going to give you some facts about this.
Fasting begins at sunrise and ends at sunset. As a health care provider, it is imperative to know the culture or practices of patients of the Islamic faith during their holy month of Ramadan. It is useful to know that Muslims are not obliged to fast during Ramadan if they are experiencing unfavorable health conditions, instead, fasting could be done at a later time permitted by good health. During the periods of fasting, Muslims aren’t allowed to consume any food or drink, so when taking care of a patient who will be observing the fasting during Ramadan, it is important to make necessary adjustment