NUR132 Foundations Of Nursing 1


Tom is approaching his imminent death and the family must have been disturbed. The health care system would provide care in the form of counseling, clinical services and practical assistance both to non-medical and medical needs of Tom. As such numerous factors would impact on the nature of medical care that the Tom and the family would wish to receive (Hoeman, 2012). Some of the concerns that need to be taken care of while offering medical service to Tom include:

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Interdisciplinary care: this would involve the establishment and implementation of elaborate and comprehensive plans of care that would ensure proper coordination of health care services that would enhance remediation and anticipation of any eventualities in case they arrive.
Attention to spiritual and emotional goals and needs for both Tom and his family: The emotions of the family are bound to be strong at this time when death has become immense. There would be instances of fear as from the statements made by Jimmy confirming that the dad is just yet to die(Morton, 2012). In such a case the health care providers should be honest to the patient and the family and respond to the questions as best as they can. Tom and the family need to be put into contact with an evangelist as many people faced with death tend to turn to God.
Care for the patient and the family as a single unit: It is quite demanding to take care of a dying loved one as it comes with the emotional turmoil that may lead to even greater risks. It would thus be important for the hospital to help the family become strong and confidence once again.
Sensitive communication: Meaningful and confidential communication between the health care providers and the family is very critical to this end(Barlow, 2014). It is through constant communication that the family would feel cared for. The communication should be educative and meant to comfort the family and the patient. To achieve this communication, it would be essential to the medical practitioner to:
Identify and familiarize himself with the nationhood Tom
Ascertain that the right and accurate information is being shared by the right people to maintain the confidentiality of the information(Husted, 2014)
Confirm with Tom and his family on what is right and most appropriate to talk about
Taking into consideration mechanisms that would ensure communication which is culturally safe and relevant to Tom and his family: Such communication mechanisms can be among them family meetings, interpreters or teleconferences as may be deemed appropriate by circumstances(Greiner, 2013).

Tom may want to return to his country to die most probably of cultural beliefs and inclinations. Tom is an Aboriginal man and therefore his culture is different from the non-indigenous culture of the habitants of Australia. Some of these reasons include:

Perception of the status of physicians and health care experience in his country: Tom may be the perception that he may be understood by the health care provider as challenging in case he makes inquiries from the physicians. He may find it important, just like many other patients, to seek clarifications and explanations on health and treatment plans which are likely to be misinterpreted by the physician (Husted, 2014). By receiving treatment from his country he would be confident in his health care providers.

Perception of the role of faith and religion: Tom and his family may perceive illness and health through the interconnection of the spirit, mind, and body and with the nature of the environment. Tom’s spirituality and faith may play an important role in this perception and in response to the process of death (Clark, 2015). There is a strong belief in the reconnection with land, culture, and genealogy to be playing a role in the restoration of the sense of identity and belong during cases of serious illnesses that may result in imminent death. By getting back to his country, Tom would feel he would be back to where he belongs.

Based on the activity, I would deploy a number of strategies in my health care profession. These strategies would aim at desirable outcomes by both the patient and the family. The strategies include:

Working in interdisciplinary teams: Through such teams I would be able to, in collaboration with other medical practitioners, collaborate, integrate and cooperate care. A team of experts would be having a range of different understanding and expertise as far as meeting the expectations of the patients is concerned(Clark, 2015). This would, in turn, ensure the care provided is not only reliable but also desirable and continuous
Provision of patient-centered care: In discharging my duties as a health care provider, I would consider and acknowledge the preferences, desired needs, and values of the patient. By respecting and caring about such values, the health care services would enhance patient satisfaction(Chen, 2012). Listening to, educating, share decision making with and communicating with the patients would improve on patient-centered care.
Apply practice based on evidence: I will correlate knowledge acquired through comprehensive research and patient values so as to optimize health care provision. I will engage in research and learning activities that would increase my understanding of the cultural differences among groups of people and use the information acquired as a guideline to desirable healthcare services(Barlow, 2014).
Adopt quality improvement: I will identify any errors and hazards in both medical and palliative care and adopt safety design principles including simplification and standardization. To this level, I will be able to offer medical services as per the needs of the patients and in a manner that is universal as far as their cultural beliefs are concerned. I will come up with interventions that aim at changing systems and processes of care to be all inclusive and accommodative of the needs, expectations, and desires of all the patients(Hoeman, 2012).

Barlow, D. H. (2014). Clinical Handbook of Psychological Disorders, Fifth Edition: A Step-By-Step Treatment Manual. Boston: Guilford Publications.

Cather, W. (2010). A Wagner Matinee. Virginia: HarperCollins.

Chen, D. D. (2012). Stress Management and Prevention: Applications to Daily Life. California: Routledge.

Clark, C. C. (2015). Creative Nursing Leadership and Management. London: Jones & Bartlett Publishers.

Greiner, A. C. (2013). Health Professions Education: A Bridge to Quality. Massachusetts: National Academies Press.

Hoeman, S. P. (2012). Rehabilitation Nursing: Prevention, Intervention, and Outcomes. New York: Elsevier Health Sciences.

Husted, G. L. (2014). Ethical Decision Making in Nursing and Healthcare: The Symphonological Approach, 3rd Edition. London: Springer Publishing Company.

Morton, P. G. (2012). Critical Care Nursing: A Holistic Approach. Salt Lake: Lippincott Williams & Wilkins.