Methods

Overview

For this discussion, first, read chapter 7 in your textbook, Transcultural Concepts in Nursing Care. 

Use the Critical Thinking Activity #5 on page 234 in your textbook to respond to the following questions: 

1. Explain the difference between gang membership in El Salvador and the United States. 

2. What are the cultural factors that are important to consider when you are planning nursing care for a patient like Jose? 

3. For an example, how do you view body tattoos?  

4. What are the issues related to political asylum, immigration, and the like? 

5. How would you assist Jose to meet his developmental needs? 

6. What might be the problems he will encounter in the U.S. society? 

7. What might be the problems he will encounter in the U.S. healthcare system? 

References:

· Initial Post: Minimum of two (2) total references: one (1) from required course materials and one (1) from peer-reviewed references.

· Critical Thinking Activities

· 1. Interview a middle-aged colleague, a client, or a person from another cultural group. Ask about adult roles within the family and how they are depicted. How are these role descriptions typical of traditional roles that are described in the literature? If not, how are they different? What are some of the reasons why they have changed?

· 2. Interview a middle-aged client from another cultural group. Ask about the client’s experiences within the health care system. What were the differences the client noted in health beliefs and practices? Ask the client about his or her health needs during middle age.

· 3. Using the Andrews/Boyle Transcultural Nursing Guide for Individuals and Families provided in Appendix A, conduct a cultural assessment of a middle-aged client of another cultural group. Critically analyze how the client’s culture affects the client’s role within the family and the timing of developmental transitions. How might the assessment data differ if the client were older? Younger?

· 4. Review the literature on Mexican American culture. Describe the traditional Mexican American family. What are the cultural characteristics of Mexican Americans to consider in assessing the developmental transitions of adulthood in this group?

· 5. You are assigned a new patient, a 24-year-old man, from El Salvador named Jose Calderon. At morning report, you learn that he has been a gang member in El Salvador, and because he wanted to stop all gang-related activities, his life was threatened. He fled to the United States and has been granted political asylum. You are told that he has extensive tattoos on his body. What do you know about gang membership in Central America? In the United States? How does membership in a gang address the needs of adolescents? What are the cultural factors that are important to consider when you are planning nursing care for a patient like Jose? For example, how do you view body tattoos? What are the issues related to political asylum, immigration, and the like? How might you assist Jose to meet his developmental needs? What might be the problems he will encounter in the US society or in our health care system?

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