Reminiscence In See Me, Nurse

Some practical obstacles that hinder the delivery of proficient and economical services include differences in language, cultural and knowledge of health issues. However, the prudent advanced practice nurse (APN) considers these obstacles to communication when providing patient-centered care. Nevertheless, when language barriers are not addressed, the provision of quality care to patient and families are undermined, which then transcends to both economic and ethical dilemmas. According to the centers for disease control and prevention (CDC, 2016), the gateway to healthcare is often hindered to a great extent by the lack of the ability to communicate medical necessities due to language barrier. In any clinical setting, efficient patient communication is essential in the delivery and accessibility of quality care and safety.

For example; If a patient does not speak the language of which country they are in, interpreters or translators may be needed in order to help communicate with people from the local area. These are important to keep the person informed about what is happening and what is going to happen. Supporting individuals to express their needs and

Class,  In our first DQ, we discussed the various cultural barriers that we might see on a routine basis; however there are still many more barriers to effective communication.  These might be more associated with physical and psychological barriers.  Here are two real-world questions that we most of us will encounter throughout our health care career regularly... How might a provider communicate more effectively with a person who is hearing impaired? Also, how might a provider communicate more effectively with an adolescent versus an adult?

Effective communication with patients is critical to the safety and quality care. From the last two decades ,number of researches has been conducted on the impact of language barrier on health and healthcare. It is observed that language barriers are the main cause of medical errors, complication and adverse event. But due to data limitations ,limited researches on impacts of language barrier has been conducted in Canadian setting. However, the researches conducted on other countries on the impact of language barrier on quality of care is applicable in the Canadian context. Some researches shows that there are several barrier which affect quality of care and patient safety. Now, researches has begun to know the complexity of language, culture, race, health literacy that may affect patient care. Current approaches are moved towards the knowledge of risk of language barrier rather than implementation of effective, evidence informed strategies.

In 2004 my grandmother and I moved from Haiti to United States without a speck of English in our language. After few years living in the states, my grandma started to get ill and she had to seek monthly medical assistance. At the time, my mother was working multiple jobs and I was a full time undergrad student that lived on college campus. Our busy schedule posed a challenge for us to bring grandma to her medical appointments. Most times it was hard for us to find someone to go with her and assist her with language translation. When it was time for her to go by herself, the health providers would have trouble finding a professional translator on the spot to assist my grandma. This became a repetitive problem and my grandma’s case was not getting any better. If she had the ability to communicate with her provider using her own language, she would have been able to be more expressive about her symptoms and the doctors would have assisted her to her needs. Just like my grandma, many people that speaks little to no English, are having trouble interpreting their medical diagnosis and communicating with their healthcare providers.

There are many strategies that can be implemented to help providers to communicate better with multi-cultural populations. Becoming a bilingual provider will greatly increase the communication process and the effectiveness of health care when caring for multi-culture populations. The provider must be aware that all Spanish people does not speak the same Spanish. They should not assume because someone speaks a certain language that they can all so write it. The provider should ask the patient what language they prefer to use, verbally or written. The provider should be aware of non-verbal clues which can be a barrier to health. They should be aware that personal space has a different meaning for different culture/populations. Some people

Culturally competent care is more important now than it has been ever before. BY 2020, 35% of the American population will consist of ethnic minorities as compared to today's 28% (Goldsmith, n.d.). This means that in order to best cater to these different patients, doctors and nurses have to speak the language of the different ethnicities, understanding their perspectives of medicine and treatment and catering to these in rode rot provide them with the best intervention.

Hope is evident when a person desires to avoid the feeling of despair and emotion that is associated with an uncertain future. Hope also enables a person to overcome difficult stages of their life; it gives the power of endurance and adaptability. In older adults, the values of past experiences are used to sustain their hope. Before nurses can give hope to their patients, it is important to understand what hope is and how to incorporate it in across the life span. Having a positive mindset alleviates emotional and physical pain and makes the recovery process a much pleasant one.

Jacobs, E. A., Shepard, D. S., Suaya, J. A., Stone, E. (2004). Overcoming language barriers in health care: costs and benefits of interpreter services. American Journal of Public Health, 94 (5), 866-869.

The United States has become a culturally diverse Nation due to the enormous of various ethnic and cultural groups that migrate to the country each day. As a result, patients and families with limited English proficiency (LEP) often are faced with multitude barriers that contribute to difficulty accessing healthcare services as well as understanding and adhering to the treatment plans/recommendations which ultimately place them at increased risk for poorer health outcomes and disparities. Eliminating these language barriers in healthcare services can be achieved by “providing awareness and mediation of cultural differences, current best practice for serving LEP populations in the health care system centers and on the use of qualified medical

To communicate seems easy enough to most of us. We have been doing this from the moment we were born. We expressed ourselves with grunts, moans, crying, smiling and yelling. We started communicating even before we made words with our nonverbal forms of communication. Communication is important. It allows individuals to share information and messages in the form of ideas and feelings (Giger, 2013). It gives us direction and allows us to interact with others. Can you image getting the entertainment system in parts in the mail with no instructions as to how to put it together? It is essential that we all communicate effectivity in order to ensure the best quality of care. Language barriers threaten the patient safety and overall quality of care of these individuals. By having efficient practices in place it will lower those risks and increase quality care.

We must take extreme care to ask non-judgmental, open questions in memory-based work because As with all addressing of painful or traumatic events, a certain amount of careful preparation is needed, including the ‘safe place’ to retreat to. Again, strong emotions are likely. The ‘now’ you can ask questions, offer advice, offer reassurance and above all comfort the ‘old’ you with love and the knowledge that they survive and things get

Nurses can also help elderly patients find meaning in their lives and a sense of purpose. We can start helping them find this perspective by using reminiscence. Reminiscence provides the feelings of fulfillment that are needed to realize the meaning and purpose of our lives (Klever, 2013). The time used to sit down and talk to our patients can authenticate their worth and wisdom they have gained through the years (Klever, 2013). They can also help us find meaning in our lives by passing along their theories, beliefs, and wisdom just like Morrie did with

Dementia, which interferes with daily activities, is not a normal part of the aging process. It is either caused by Alzheimer’s disease or by a stroke, and affects a person’s ability to speak as well as a person’s memory. It is most important to remember that this may be frustrating for the nurse, but it is also frustrating for the patient. At times, the patient may not realize that they are not cognitively aware and cannot hold a conversation, and at others they realize this, but there is nothing they are able to do about it. We must not rush them in conversation or day-to-day activities, but encourage them that they are doing great; we must remember that they are people too, and still desire human

I didn’t plan on writing this diary entry neither did I plan on remembering everything that happened before I became a carer. It was my donors that made me look back at my life and maybe I needed that, my past is a part of me. I’m Kathy and “I’m thirty one years old, and I’ve been a carer now for 11 years” (Ishiguro 3). This sounds like a long time I know, but they’ve been pleased with my work. My donors have always ended up doing much better than expected. Their recovery process has been great, even by the end of a few donations. This is the probably because I know when to comfort the donors, when to just listen or just give them some alone time. Ruth was the donor that I had chosen. Although, all our differences ad not gone away they weren’t