Dr. madeleine m. Leininger. July 1925-August 2012. Transcultural Nursing. Transcultural Nursing.
July 1925-August 2012
“a substantive area of study and practice focused on comparative cultural care (caring) values, beliefs, and practices of individuals or groups of similar or different cultures with the goal of providing culture-specific and universal nursing care practices in promoting health or well-being or to help people to face unfavorable human conditions, illness, or death in culturally meaningful ways” (Sitzman, 2011, p97)
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Nursing Theory. http://nursing-theory.org/nursing-theorists/Madeline-Leininger.php
A nurse is caring for Mr. Hernandez, a 63 y.o. Hispanic male, on a medical surgical floor. He was admitted 3 days ago with the diagnosis of sepsis and two diabetic ulcers on his left foot. He has a history of uncontrolled type II diabetes, high cholesterol, and hypertension. Upon the initial interview he states to the nurse:
“I don’t know how this happened, I felt fine until this last week. I only had a fever and usually my wife’s herbal tea and a cool washcloth on my forehead take care of that. I don’t even remember doing anything to my foot, although I don’t have as much sensation in my feet as I used to. Maybe when I was outside in the yard with the grandkids playing barefoot I did something? It’s just been sore, but I thought it would heal on it’s own. The doctor said if the infection gets any worse I may lose my foot. I don’t know what I’ll do if that happens, I have to work, my entire family depends on it.I cannot wait until I’m home. My wife will have a plate of homemade tortillas with my name on them. My wife is the best! She’s the one who made me come in here, she said my foot was getting worse and her special honey ointment wasn’t doing the trick. I bet some of her tortillas, cookies and herbal tea will help me get over this infection!”
Using the culture care theory, what factors shared in the story from Mr. Hernandez should be considered/addressed in the discharge plan?
Develop two nursing diagnoses with interventions that will help to meet this patients cultural, physical, and emotional needs.
What are the implications if the nurse does not provide culturally congruent care?