Burlarley V. Wal-Mart Stores Inc

Burlarley V Wal Mart Stores Incburlarley V Wal Mart Stores Inc 201

Identify at least one sociocultural factor from Tina Jones. Identify one health promotion need and discuss at least one strategy for cultural competency that you could apply during a health promotion teaching activity. Peer 1 Response: Shannon Bowman posted Upon assessing Ms. Jones, it was learned that she is an African American female diagnosed with asthma and type 2 diabetes. Ms. Jones admits to being non-compliant with her diabetes medication and checking her blood sugar. Ms. Jones states she did not understand what the numbers mean when she did check her blood sugar, therefore indicating a lack of knowledge regarding her condition. Ms. Jones admits to a family history of hypertension, hyperlipidemia, and diabetes. “In the U.S., black adults are nearly twice as likely as white adults to develop type 2 diabetes. This racial disparity has been rising over the last 30 years” (Hicklin, 2018). Ms. Jones is employed and also pursuing a college degree, therefore her educational level does not seem to be a barrier in understanding her health conditions. Ms. Jones explained her faith helped her cope with the death of her father, therefore her spiritual beliefs may be of assistance to her in improving her health. Another resource to utilize for Ms. Jones is her peers. She mentions spending time with her friends, therefore suggesting activities she can do with them to improve her health might be beneficial. Ms. Jones needs to be educated regarding diabetes. It is vital that she understand exactly what type 2 diabetes is and how non-compliance with treatment can affect her in the future. Ms. Jones should learn how to properly self-monitor her blood sugar levels and be able to explain, through teach back, what blood sugar readings are considered normal and what readings are abnormal. Ms. Jones should also be able to explain via teach back what to do for abnormal readings. Ms. Jones needs to be guided to develop a diabetic-friendly eating plan. “Clinicians, diabetes educators, and others who counsel African-American women with type 2 diabetes must recognize that dietary practices are tied to ideologies about African-American womanhood, intimate and community relationships, and ethnic identity” (Liburd, 2003). Ms. Jones will have to be supported in her lifestyle changes, which should not be difficult given she has identified a strong support system in her family, friends, and her faith. “If rituals are in fact created, and not natural, the eating ritual can be re-created as a site for the promotion of health – of the mind, body, and soul – of African-American women with type 2 diabetes” (Liburd, 2003). Ms. Jones needs to develop a diet that includes healthy carbohydrates and fiber-rich foods. “Focus on healthy carbohydrates, such as fruits, vegetables, whole grains, legumes, such as beans and peas, and low-fat dairy products, such as milk and cheese” (Diabetes diet: Create your healthy-eating plan, 2017). With the help of her healthcare team and her strong support system, Ms. Jones will be able to transition to a better, healthier diet and may even become the example her community needs to help others make their own changes. References: Diabetes diet: Create your healthy-eating plan. (2017). Mayo Clinic. Hicklin, T. (2018). Factors contributing to higher incidence of diabetes for black Americans. Retrieved from Liburd, L. C. (2003). Food, identity, and African-American women with type 2 diabetes: An anthropological perspective. Retrieved from Peer Response 2: Samara Vermilya While initially assessing Ms. Jones, one sociocultural factor that is collected during the interview is that she is an African American woman, with a long familial history of health conditions such as high blood pressure, type II diabetes and high cholesterol. According to the U.S Department of Health and Human Services, Office of the Minority Health, African Americans have a 60% higher rate of having diabetes and were twice as likely to die from diabetes than a Caucasian (Office of Minority Health, 2019). After the initial intake interview, it is also gathered that Tina Jones was diagnosed with Type II diabetes at a young age and currently is not following doctor recommendations of the use of metformin or following a diet plan. Although Ms. Jones is young, she has many poor habits such as a poor and inconsistent diet and being non-compliant with medications. One health promotion need for Tina Jones, is the education on having a balanced daily exercise plan to help control diabetes, high cholesterol and hypertension. Maintaining both a balanced diet and increasing daily activity can decrease chances of health conditions or mortality exponentially. According to the World Health Organization, increasing physical activity and incorporating a balanced diet can decrease the chances of type II diabetes developing into more health comorbidities such as heart disease, kidney disease, stroke and an increase in infections (World Health Organization, 2014). A cultural competency that can be applied during a health promotion teaching strategy for Ms. Jones, could be to provide information based on her education level and background. Educating Ms. Jones on foods that are within her cultural background, but also educating her on the nutritional facts and warning signs for high sodium, carbohydrates, sugars and so on. According to a study done in Georgetown University, using cultural specific attitudes and values can make a huge difference in the way a patient understands and incorporates the plans into their own, everyday life (Georgetown University, n.d). References: Georgetown University. (n.d.). Cultural Competence in Health Care: Is it important for people with chronic conditions? Office of Minority Health. (2019, December 19). Diabetes and African Americans. World Health Organization. (2014, October 6). Diet, Nutrition and the Prevention of Chronic Diseases, Report of the Joint WHO/FAO expert consultation.

Paper For Above instruction

Understanding the intricacies of sociocultural factors influencing health behaviors is essential in delivering effective health promotion strategies, particularly among diverse populations. The case of Tina Jones exemplifies how cultural identity, familial history, and personal beliefs intersect to shape health outcomes, especially in chronic diseases like diabetes. Examining these factors allows healthcare professionals to tailor interventions that resonate culturally and socially, thereby enhancing engagement and success.

Sociocultural Factors Influencing Tina Jones's Health

One significant sociocultural factor pertinent to Tina Jones is her African American heritage. Research underscores that African Americans are disproportionately affected by type 2 diabetes, with prevalence nearly twice that of whites (Hicklin, 2018). This disparity stems from a complex interplay of genetic predisposition, socio-economic disparities, cultural dietary practices, and access to healthcare services. Tina's familial history of hypertension, hyperlipidemia, and diabetes further elevates her risk, indicating a possible genetic predisposition compounded by cultural lifestyle factors.

Furthermore, Tina's spiritual beliefs and community ties might serve as both protective and risk factors. Her faith, which has been a coping mechanism in the face of personal loss, can be leveraged as a source of motivation for health behavior change. However, cultural dietary practices rooted in her community and identity might pose barriers if they conflict with medical nutritional advice.

Health Promotion Need

The primary health promotion need for Tina Jones is education on managing her type 2 diabetes effectively. This includes understanding her condition, interpreting blood glucose readings, adhering to medication regimens, and adopting a culturally appropriate diet. Additionally, increasing her physical activity levels and developing a balanced exercise routine are vital to controlling her comorbidities like hypertension and hyperlipidemia.

Strategies for Cultural Competency in Health Education

Applying cultural competency strategies involves tailoring health education to Tina’s unique cultural context and educational background. First, using culturally relevant dietary examples—such as incorporating traditional African American foods in a healthy manner—can facilitate acceptance and adherence. Educators should emphasize how traditional foods can be modified, focusing on healthier preparation methods and portion control, aligning with Liburd’s (2003) emphasis on preserving cultural identity while promoting health.

Second, employing teach-back methods ensures that Tina comprehensively understands her condition and management plan, which is crucial given her previous lack of understanding regarding blood sugar readings. This interactive approach helps verify comprehension and enables clarification of misconceptions. Using visual aids and simplified language further accommodates her educational level, increasing the likelihood of behavioral change (Georgetown University, n.d.).

Third, involving Tina’s community and faith-based networks can serve as powerful supportive resources. Engaging her family and faith community in health promotion activities aligns with the social aspects of her cultural identity, fostering a supportive environment conducive to lifestyle modifications. Such communal involvement has been shown to improve health outcomes among African American populations (Liburd, 2003).

Finally, recognizing and respecting Tina’s beliefs, values, and preferences during education endeavors enhances trust and rapport. For example, framing dietary changes as a way to honor her cultural heritage and ensure her ability to participate fully in family and community activities can motivate adherence.

Conclusion

Addressing sociocultural factors and incorporating cultural competence into health promotion contributes significantly to the effectiveness of interventions for chronic disease management. By understanding Tina Jones’s cultural background, health beliefs, and familial context, healthcare providers can design personalized, respectful, and practical education strategies. Such tailored approaches not only improve adherence but also empower patients to take an active role in their health, ultimately reducing disparities and improving outcomes within marginalized communities.

References

• Georgetown University. (n.d.). Cultural Competence in Health Care: Is it important for people with chronic conditions?
• Hicklin, T. (2018). Factors contributing to higher incidence of diabetes for black Americans.
• Liburd, L. C. (2003). Food, identity, and African-American women with type 2 diabetes: An anthropological perspective.
• Office of Minority Health. (2019, December 19). Diabetes and African Americans.
• World Health Organization. (2014). Diet, Nutrition and the Prevention of Chronic Diseases, Report of the Joint WHO/FAO expert consultation.
• American Diabetes Association. (2021). Standards of Medical Care in Diabetes—2021.
• Chen, X., et al. (2019). Cultural Competency and Diabetes Management in Minority Populations. Journal of Primary Care & Community Health.
• Johnson, M. et al. (2020). Tailoring Health Education for Culturally Diverse Populations. Preventing Chronic Disease.
• Williams, D. R., et al. (2019). Socioeconomic and Cultural Factors Influencing Diabetes Outcomes. Nursing Clinics of North America.
• Smith, S. et al. (2022). Empowering Patients Through Culturally Sensitive Education. Journal of Community Health Nursing.