Discussion Topic: Sanya, A 20-Year-Old Woman ✓ Solved

Discussion Topic Discussion: 1. Sanya, a 20-year-old woman

Sanya, a 20-year-old woman from India attending a university in the United States, is seen by a nurse in a clinic for the first time when she is 16 weeks pregnant. This is an unplanned pregnancy, and Sanya tells the nurse that she wants an abortion. She feels that, although abortion is discouraged by Indian culture unless it is necessary to save the mother's life, she should terminate the pregnancy. Her boyfriend, the baby's father, is a Caucasian American, but her parents have already arranged for her to marry an Indian man in India. Sanya would prefer to marry her American boyfriend. Using Leininger’s Sunrise Model, discuss the complexities of the cultural traditions and the woman’s situation. How can the nurse offer support to the woman?

Mrs. Trudy Jackson is a 75-year-old African American woman who has had hypertension for the past 15 years. She states that she doesn’t always take her pills because they cost $250 a month; if she feels ok, she doesn’t take them. How do African American rates of hypertension and corresponding morbidity and mortality compare to other groups? What is the nurse’s responsibility regarding educating Mrs. Jackson about her hypertension? What potential barriers may affect Mrs. Jackson’s health behavior?

Paper For Above Instructions

The complexities of cultural traditions in Sanya's situation can be analyzed using Leininger's Sunrise Model, which emphasizes the significance of cultural care and its association with health practices. In Sanya's case, cultural elements include her Indian heritage, which has specific views on unplanned pregnancies and the stigma surrounding abortion. According to Indian culture, abortion is typically frowned upon unless it is necessary for the mother's health, placing Sanya in a conflict between her cultural beliefs and her personal circumstances, which may be influenced by her education and relationships in the United States.

Furthermore, Sanya is confronted with the emotional repercussions of her situation. Facing an unplanned pregnancy, she is pressured by cultural expectations from her parents who have arranged her marriage to an Indian man while also seeking acceptance and understanding from her American boyfriend. This cultural dissonance places a significant psychological burden on her, leading to feelings of isolation and fear regarding the consequences of her choices. It is essential for the nurse to recognize Sanya's feelings and position her within her cultural context to provide adequate support and care.

The nurse can offer support to Sanya in several ways. First and foremost, it is crucial for the nurse to create a safe space for open dialogue, allowing Sanya to express her worries and fears without judgment. The nurse could counsel Sanya about the available options and help her consider the implications of her choices concerning the abortion and her relationship with her boyfriend and family. It could also be beneficial for the nurse to provide information about the legal aspects of abortion in the U.S. and discuss local resources that offer family planning or counseling services. Furthermore, connecting Sanya with culturally sensitive counselors or support groups that understand her unique situation could empower her to make informed decisions.

In the case of Mrs. Trudy Jackson, understanding the disparities in hypertension rates among African Americans is fundamental to providing appropriate care. African Americans experience higher rates of hypertension, morbidity, and mortality compared to other racial and ethnic groups. According to the American Heart Association, hypertension affects approximately 56% of African American adults, leading to a significantly increased risk of stroke, kidney disease, and cardiovascular complications (American Heart Association, 2021). These disparities result from various factors, including genetic predispositions, socio-economic challenges, and access to healthcare services. Additionally, healthcare providers must also consider the historical context, as systemic racism and discrimination have contributed to distrust in the healthcare system among African Americans (Cohen & Davis, 2020).

The nurse plays a pivotal role in educating Mrs. Jackson about her condition, emphasizing the importance of medication adherence, dietary choices, exercise, and regular check-ups. The nurse should assess Mrs. Jackson’s understanding of her condition and provide tailored education about hypertension management. Discussing potential side effects of non-adherence, such as exacerbated hypertension and financial burdens related to unmanaged health conditions, could help underscore the importance of following a prescribed treatment regimen.

However, there can be potential barriers that affect Mrs. Jackson's health behaviors. Economic challenges, as highlighted by her statement regarding the high cost of medication, can prevent her from obtaining necessary treatments. Additionally, cultural beliefs about healthcare, mistrust in the medical community due to systemic inequities, and a lack of social support may hinder her willingness to prioritize her health. To address these barriers, nurses should work collaboratively with Mrs. Jackson to develop a comprehensive care plan that considers her financial constraints and cultural context. This could include exploring affordable medication alternatives, community resources, and developing a trusting nurse-patient relationship, which is paramount in fostering better health outcomes.

In conclusion, understanding patients within their cultural contexts is crucial for effective nursing care. Both Sanya and Mrs. Jackson's situations are compounded by the interplay of cultural, social, and economic factors that influence their health decisions. By employing culturally competent practices, nurses can provide holistic support that respects patients' values while promoting positive health outcomes.

References

• American Heart Association. (2021). Hypertension Statistics. https://www.heart.org/en/about-us/heart-organization/american-heart-association-annual-statistics
• Cohen, S. M., & Davis, L. (2020). Addressing Racial Disparities in Hypertension: A Cultural Competence Approach. Journal of Community Health, 45(4), 746-753.
• Duncan, M. (2019). Cultural Competence and Patient Care: A Nursing Perspective. Journal of Nursing Practice, 15(2), 135-142.
• Gonzalez, L. (2022). Understanding the Intersection of Culture and Health. Nursing Times, 118(1), 30-34.
• Gray, R., & Smith, L. (2021). The Role of Nurses in Cultural Competence. Nurse Education Today, 106, 105112.
• Jenkins, A., & Floyd, J. (2020). Hypertension Education in African American Communities: A Systematic Review. Health Promotion Practice, 21(2), 156-165.
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• Thompson, R. (2022). The Impact of Socioeconomic Status on Health Outcomes among African Americans. Journal of Racial and Ethnic Health Disparities, 9(3), 932-940.
• White, R., & Leslie, D. (2020). Understanding the Cultural Context of Health in Nursing Care. Journal of Cultural Competence in Nursing and Healthcare, 5(1), 15-22.