Transcultural Concepts in Nursing Care

Question: Discuss about the Transcultural Concepts in Nursing Care. Answer: Introduction: With reference to scenario A, it is realistic to confirm that Australia has experienced depression cases among its citizens and finally the end result after the subject is death by suicide. Investigating and outlining the incidences or the prevalence of the subject, there are areas that need to be covered or looked at. These areas include; gender, age groups, and specific groups that is at risk, hospitalization and finally recovery. We are therefore going to do much of our investigative work in line with the subject scenario and within the areas mentioned (Andrews Boyle, 2008). Gender What is clear with the subject prevalence is that, a number of depression and suicide cases are not very common across all the gender. For example, in Scenario A, we learn of one Edward who is referred to me by his General practitioner or GP, on the grounds of his mental health. This clearly shows that, what Edward is undergoing is serious depression and therefore I have to offer my level best in ensuring that he is freed of the depression. We also come to realize of other serious cases of depression that even resulted to suicide through Edwards son by the name Thomas (Grant, 2016). The death of Thomas in this case is explained to have been through suicide and the agent used within the farm was carbon monoxide which interferes with the hemoglobin (an oxygen carrying agent within the body). The exit of Edwards eldest son from the farm also shows an aspect of depression. His exit can only to be traced courtesy of the death of his younger brother. This shows that depression and suicide cases in Australia are majorly prevalent or common among the male gender. This is supported by the scenario in question and also the introductory part of the paper (In Norman In Ryrie, 2013). Age Group Depression and suicide cases are common in almost every age bracket or group. The only group with less cases of the subject is that of infancy. The rest are at risk. Edward is 62 years, an age that whoever attains is within the age group of the elderly. His son Colin is 30 years whereas Thomas is 26. Not still out of the youthful age group. The investigation in respect to the context therefore shows that, cases of depression and suicide in Australia is prevalent among the youths as well as the elderly (Hogan, Przybylowicz Vacek, 2013). Edward who is undergoing depression and has got plans of committing suicide represents the elderly and his two sons representing the youths. This clearly answers the question about the age group. Specific Group that is at Risk The specific group that is at risk in view of the subject is majorly adults. This is because they are the people who worry a lot about a number of responsibilities around them. For example, Edward is a 62 year old adult is worried about who is going to take care of his farm. His younger son committed suicide and the elder one also left Australia for Sydney. Even though the sons can still fall into the youthful category, the truth is that they are adults. Even the global statistics conducted four years ago, affirmed that depression and cases of suicide is common among the adults (Lippincott, Wilkins Electronic Books Collection 2006). Hospitalization and Recovery This is the final area being covered within the first segment of the paperwhich required hospitalization and the recovery details pertaining the issues of depression and suicide in Australia. Since this is a prevalent concern, there is a community nurse who is in charge of a communal livelihood. This kind of medical practitioner can either be a nurse or a midwife and ensures that concerns related to the subject are handled with keenness and care (Madhav 2010). If by chance a community practitioner realizes mental deterioration from one of the occupants, he or she recommends him or her to the general practitioner. Finally the general practitioner will recommend to the affected to see the mental health nurse, where counseling and treatment begins up to recovery. This is vivid in the case of Edward who before being referred to me in my capacity as a mental health nurse, he had to pass through his general practitioner. Though not mentioned, Edward may have been also referred to the general practitioner by the community practitioner. It is at this stage that the mental health nurse ensures that the patient is treated and recovers fully (Morrissey Callaghan, 2011). Factors that may have contributed to the Development of Clients Presentation, Mental Health and Risk The clients presentation found in scenario A may have been caused by a number of factors of which all of them are covered within the subject scenario. We are also going to discuss those factors on independent grounds. The client in this case is none other than Edward. The first factor was on the death of his father, where it is clearly outlined in the literature in question that Edward was not able to attend his fathers burial who died in Malta 30 years ago. This caused him guilt every time he thought about it (Potter Moller, 2016). At all times he couldnt believed that he was able to miss his fathers funeral. On the same note, when he returned to Malta for four weeks, his mother again was unwell and died moments later after he left. Again he missed his mothers burial as well. The one that has been causing him much stress although he missed both burials has always been that of his father. The second factor that also contributed to clients development of presentation was on the distance and lack of closeness that his wife, son who in this case is Colin and him are lacking. This fact is said to have been brought by the death of his younger son Thomas whom he knew was going to take care of the farm that he has worked hard for. Whenever his thoughts linger around, with respect to the previous sentence, Edward feels so bad and he goes to an extent of becoming tearful (MagneÃÅ' e Verhaak, 2016). This in its own symbolizes an aspect of frustration and goes with no doubt that distress is at hand. Ethical and Legal Issues that are related to my Scenario Ethical Issues Ethics are actually the moral principles that govern a person or a groups behavior. In the scenario that I chose, the major ethical issue is on exercising self control and not allowing ones self to be overwhelmed by his or her personal challenges. This ethical issue is related to my scenario since Edward was undergoing his ordeal due to lack of personal control. He made the guilt of not attending the burial or funeral of his father cloud his mind and therefore, he was always in a distressed mood (Townsend, 2014). Other than that, he also allowed the distance relationship that existed within his inner family to also bother his mind that all the time he was always sad and very tearful. This kind of life subjected him into a state of hopelessness. Legal Issues related to my Scenario in respect to the Subject Cases of distress and suicide have been common in Australia just as mentioned before, with 80 percent of those committing suicide being men while 20 percent women. Coming back to my scenario, which in this case is scenario A, the legal issues involved are many but we will discuss one. Committing of suicide itself is illegal except to one state of Australia known as State of Victoria but there are cases where a survivor can be charged by manslaughter. Other parts of Australia including where Edward who is my client stayed, it is considered as illegal (In Wood In Johnson, 2016). One of the legal issues is that it contradicts the law by taking ones life or killing ones self. No one is allowed to take or kill him or herself for whatever reason. There are various legislations that are within Australian acts that safeguard against the act. If incase one is found committing suicide, he or she is likely to be charged in court with either murder or manslaughter in line with the Criminal Act of 1990 section 16 under the Australian jurisdiction among other Acts and jurisdictions (Varcarolis, Halter Varcarolis, 2010). Just to mention, the above legal issue is related to my scenario since the death of Thomas which was an act of suicide was contrary to the law. The only escape gate that he got was that, he was dead and therefore, a case couldnt be leveled against a corpse. Two Concerns of Nursing or Midwifery in relation to my Scenario The first concern of nursing or midwifery in relation to my scenario is that of giving moral courage. The main reason why Edward was referred to me by his general practitioner was for the basis of seeking solution towards the whole ordeal and relieving Edward of his state. This is usually a major concern of midwifery or nursing because it is what makes people to go to nursing homes. It is the role of the nurse to ensure that the client is given counseling and talked to in a manner that the client finds its easy to open up and share his or her life experiences (Varcarolis, Halter Varcarolis, 2010). Like in my scenario, my client who is Edward is having a lot in mind that is taking him down, within the past six months; he had already lost weight of about 6 kilograms without doing heavy tasks. He is usually sad and tearful whenever he thinks about his family that was previously happy and close. As per this time, Thomas his younger son is dead courtesy of suicide; his farm output in reducing daily and the death of his late father also keeps him guilty. This shows that the survival of Edward is based on the moral courage I will offer him as the nurse recommended to him by his GP. The discussed concern therefore forms part of the first area of the nursing concern (Wissman, Knippa Assessment Technologies Institute, 2007). The second nursing concern on nursing or midwifery is on offering proper nursing care to client and also offering subsequent assistance to the client. This is directly related to my scenario, since what Edward needs is to get back his initial health status, and this is only achievable through proper care and someone to monitor his progress slowly by slowly until that time that he will be well. These are the most important nursing concerns that will enable the client or Edward assumes back his health status (Womble, 2015). Two Evidence of Nursing with respect to the Nursing Concerns above The first evidence is that of offering moral courage so as to ensure that Edward doesnt lose weight anymore. The nursing concerns outlined above can also be viewed as some of what many clients miss when they go to health facilities and therefore can be a problem on the side of clients. The rationale for this intervention will be marked by a number of counseling sessions that will eventually enable me relieves my client. This will help Edward positively because in the end of our sessions mentioned, he will be relieved (Shoemaker Hilty, 2016). The other evidence is by maintaining the mood of the subject client and keeping him in an improving stage. The rationale attached to this intervention is by being positive as a nurse and always sociable so as not to allow him escape my mind. This will have a positive effect since he will always be happy and have mood maintenance (University of Chester, 2016). Evidence or Intervention on the Second Nursing Concern The first evidence or interventionon the second nursing or midwifery concern on ensuring that the client in question is well taken care of and his progress monitored, will be seen in the improvement in his farm output. This will show that he is having a settled mind as a result of the care that is given to him. The rationale for this intervention is to always stay close to my client and ensure that he access maximum care. Other than the mentioned intervention or evidence, the other intervention will be noted when Colin will come from Sydney back to stay with the family. This will be as a result of seeing an example of a settled family that is close. By taking good care of Edward, with proper concern offered as earlier stated within five days, he will go back a changed man, he will talk to his wife, do his work adequately and his farm will do well. This is what will return the closeness in order and even see Colin coming back. 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