Question

Case Study, Chapter 7, Overview of Transcultural Nursing

1. Mrs. Perez, 32 years of age, is a Hispanic patient who is admitted for early stage cancer of the uterus. The surgeon stated that in order to treat Mrs. Perez’s cancer successfully, the uterus will need to be removed surgically through a procedure called a simple hysterectomy leaving the ovaries, fallopian tubes, and vagina. The surgeon requests that the nurse make arrangements for an interpreter, so they can both use the interpreter’s services. The patient only speaks Spanish, but her mother and one of the patient’s sisters are bilingual. They are currently visiting the patient. Her husband is also visiting and he only speaks Spanish. The patient’s two children are with her sister Maria. The family stated they are devout Catholics and request to see a priest while in the hospital. Today is Ash Wednesday. (Learning Objective 4)

Which interpreter is the most appropriate choice to communicate with Mrs. Perez and why?

After critically analyzing the cultural influences, what nursing actions are appropriate for the patient?

Answer 1

Her mother could be the better interpreter as she is bilingual and she can help her with emotional support too. Patient will be so comfortable with her in sharing her opinion and thoughts.

Nursing actions:

To assess the women's understanding regarding the procedure.

To provide clarification regarding procedure, and emotional support

To reassure that anesthesia will help the patient to bear the pain during surgey

To resaaure that post operative medicines will help her to relieve pain post surgery

To make her feel comfortable, less anxious about the procedure

Cleaning and shaving of abdominal and perineal area if ordered

To administer pre operative medications, enema as ordered

To advise the patient to empty the bladder

To get signed from the consent form.