Topic
Factors to be considered in discharge planning- Leininger’s Culture Care Model
Instructions
Case study #1
Mrs. Franklin-Jones was admitted from the Emergency Room to Cardiac Intensive Care one week ago with a diagnosis of acute myocardial infarction. She has recovered as expected and is moving to the cardiac step-down unit today. She is talking with Nurse Julie Hernandez, as she gets settled in her new room, “I was really surprised when I got that bad pain in my chest! I knew I had high pressure but I just didn’t think it was that bad. I try to take my medicine like they told me to in the clinic but sometimes I forget. I guess that I need to study those papers they gave me about what foods I should eat and not eat. I better take care of myself! Momma had bad pressure and it killed her! Who knows—I may even have to learn to cook different than I was taught in Jamaica! I may have to let Tomas do the cooking. He’s got more time at home now than I do since he lost his job. There isn’t too much time between my shifts at the school cafeteria and my new housecleaning job. You know my sister is coming up from Jamaica to see me. I think she is bringing me some bush tea. That’ll set me right!”
- Using Leininger’s Culture Care Model, what factors in the story shared by Mrs. Franklin-Jones should be considered by Nurse Hernandez when planning for the patient’s discharge?
- Why is the theory of Culture Care Diversity important in the delivery of nursing care for all patients?
- Using Leininger’s Theory of Culture Care Diversity and Universality, develop a plan of care for Mrs. Franklin-Jones.
- Discuss the strengths and limits to Leininger’s Theory.
Answer preview
Leininger’s Culture Care Model describes a number of socio-cultural dimensions which need to be considered when planning for nursing care. Within the context of Mrs Franklin-Jones the first factor would be cultural values and beliefs of the individual. This would be important because the nurse would have an understanding if the underlying cultural perceptions of the patient which would impact the continuity of the treatment once the patient has been discharged. Personal values have a significant impact on the way which an individual sticks to a routine medication.
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