The Client in Context
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The document discusses the importance of understanding clients within their cultural, family, and community contexts. It emphasizes that these contexts affect a client's health status and are in turn affected by the client. To perform an effective health assessment, nurses must see clients as individuals embedded within these interacting contexts rather than in isolation. Both cultural beliefs and biological variations can influence a client's health and must be considered normal variations unless deemed abnormal. The family is also an important context that operates as a system influencing and influenced by a client according to their cultural beliefs.
The Client in Context
- 1. The Client in Context Maria Carmela L. Domocmat, MSN, RN Associate Professor, School of Nursing Northern Luzon Adventist College
- 2. • Health assessment involves assessment of the individual as a whole • You need to see the client in contexts that affect the client (and that the client affects in return) Maria Carmela L. Domocmat, RN, MSN
- 3. • Client is part of a cultural context, a family context, and community context—all of which affect the client’s health status • In turn – family and community, and even the person’s spirituality, are affected by the individual’s health status Maria Carmela L. Domocmat, RN, MSN
- 4. • Understanding or being aware of the client in context is essential to performing an effective health assessment Maria Carmela L. Domocmat, RN, MSN
- 5. • Note: the nurse sees an individual client, but accurate interpretation of what the nurse sees depends on perceiving the client in context. Culture, family, and community operate as systems interacting to form the context Maria Carmela L. Domocmat, RN, MSN
- 6. Culture and biologic variations • Within a culture there are many variations of belief and practices, and these variations are defined as normal Maria Carmela L. Domocmat, RN, MSN
- 7. Activity: • Cultural beliefs and practices: normal or abnormal? • Of the following beliefs and practices, which are normal variations and which are abnormal findings? Maria Carmela L. Domocmat, RN, MSN
- 8. • The request for anointing by a priest before surgery • The request for a shaman (witch doctor) to treat the client along with the medical doctor • Placement in a room with a bed pointing toward Mecca in Saudi Arabia Maria Carmela L. Domocmat, RN, MSN
- 9. • Having a family member present at family member’s death • Refusing iced drinks while ill • Claiming that a child’s illness is due to evil eye Maria Carmela L. Domocmat, RN, MSN
- 10. • Conclusions: all of the above beliefs and practices are based on cultural practices of different cultural groups. Therefore, all may be considered normal variations Maria Carmela L. Domocmat, RN, MSN
- 11. Selected physical variations r/t human variation Maria Carmela L. Domocmat, RN, MSN
- 12. Maria Carmela L. Domocmat, RN, MSN
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- 14. Maria Carmela L. Domocmat, RN, MSN
- 15. Maria Carmela L. Domocmat, RN, MSN
- 16. Maria Carmela L. Domocmat, RN, MSN
- 17. Maria Carmela L. Domocmat, RN, MSN
- 18. FAMILY Maria Carmela L. Domocmat, RN, MSN
- 19. Family • Activity: look at different pictures of family – Which image represents a family? – Once you have selected an image that meets your criteria for family, think about what criteria you use for determining family Maria Carmela L. Domocmat, RN, MSN
- 20. Maria Carmela L. Domocmat, RN, MSN
- 21. • For family health assessment purposes- the most effective way to work with clients is to accept the client’s definition of family rather than the nurse’s concept • The family works as a system of interactions Maria Carmela L. Domocmat, RN, MSN
- 22. • The client’s beliefs about human interactions, about roles, and about illness and its effect on lives are all inter-related with family beliefs Maria Carmela L. Domocmat, RN, MSN
- 23. • The culture in which the family operates and the specific culture developed within the family unit interact to form a context for the client Maria Carmela L. Domocmat, RN, MSN
- 24. Source: Weber, Janet R & Jane Kelley. (2009).Health Assessment in Nursing. USA: Lippincott Williams and Wilkins