GROUP BSN III-B2

NCM 117a Care of Clients with Maladaptive Patterns of Behavior (Acute and Chronic) RLE

Module #3

Questions:
1. Why are cultural humility and respect important in public health?
Þ Cultural humility gives us a greater understanding of cultures that are different
from our own and helps us recognize each patient's unique cultural experiences.
One’s culture has and will always be a big part of us. Cultural humility and
respect are one of the biggest influences when it comes to health communication.
It influences how an individual might view an illness or treatment, for example,
and affects how a physician should address an older patient. Culture may also
affect the decision-making process.

2. In this story, what are cultural barriers to diagnosing and understanding Alzheimer’s
disease?
Þ Cultural diversity makes communication difficult as the mindset of people of
different cultures are different, the language, signs and symbols are also different.
We agreed that Language and Values & Beliefs are the main cultural barriers in
this case. Because the patient often reverts to her native language which made it
hard for the carers to understand her and explore her feelings. There is a difficulty
in the diagnosis because there's a cultural notion within the community. People
begin life as a child and end life as a child.

3. How can public health address Alzheimer’s disease misinformation and stigma in a
culturally competent and relevant way?
Þ With every four seconds, someone around the world will develop dementia and
thirty eight million people are affected world-wide dementia knows no social,
economic, ethnic or geographical boundaries although each person will
experience dementia their own way, a common thread is they will experience is
the stigma and misinformation. At a time where people most need love and
support a wall of stigma surrounds them. Often people don’t know how to interact
with people with dementia and these people are often excluded. People who don’t
understand the disease, fear it and in turn fears the person who has dementia and
often tries to avoid them. It is a lonely disease, both for the person with dementia
and their caregiver/partner the worst thing you can do is ignore people with
dementia. Stigma and misinformation is a very important topic because it is a
barrier, because many people don’t understand the disease and often try not to talk
about it. And talking about it and understanding it is most important.

4. What is the role of family and care in an Alzheimer’s disease diagnosis?

Þ Working together as a family is the optimal scenario when dealing with an
Alzheimer’s diagnosis.
Giving plenty of listening, reassurance and understanding without
judgment.
 Guiding them in identifying some fun activities they can do with their
loved one with Alzheimer’s (like listen to old music or look at family pictures
together)
Establish a simple consistent daily routine
Successful communication. Keep in mind that speech, language and other
communication difficulties vary from person to person and may vary from day to
day, or even moment to moment. Supplement words with gestures, touch, smiles,
nods, and eye contact.
Providing Cues in the Environment. Label household items and rooms
with words or pictures. Display pictures of family and friends with their names
under the pictures.
Þ Giving daily care and assistance to a person with Alzheimer’s can be challenging
for a number of reasons. As the disease progresses and symptoms change, you
will need to take on more responsibilities for hands-on care. The person may
become more confused, need more time to do things, and may even be resistant to
help. At some point, the person will require 24-hour supervision and assistance
with all care tasks.

5. What components may be useful in creating a community outreach program for this
particular community?

Þ Community outreach programs are an important vehicle for reducing the

discovery disconnect by bringing health education and Health screening services
directly to community members. Outreach programs are important tools for
bringing health education and screening services directly to community members
and serve to contribute to reducing health disparities. They assist communities
and hospitals to reach mutually beneficial goals that would otherwise not be
achievable for promoting accessible and equitable care. Important parts of the
outreach programs are:
- Support groups, Apart from the social and emotional benefits of participating,
Disease specific support groups enable the exchange of valuable professional and
personal information and advice. They are also gatewaying to understanding and
sharing, enabling people to cope better and for longer.
- Outreach services can provide closer surveillance of the population, which would
improve the continuum of care and make collecting, retrieving and disseminating
health information more efficient and comprehensive.
- Increasing access to health specialists in remote areas, most developing countries
lack specialists.

Reference:

Trinitycarefoundation. (2019, May 8). Outreach Health Program.

https://trinitycarefoundation.org/preventive-outreach-health-programs/
Gonzalo, A. B. (2021, March 5). Madeleine Leininger: Transcultural Nursing Theory.

Nurseslabs. https://nurseslabs.com/madeleine-leininger-transcultural-nursing-

theory/#:%7E:text=The%20Transcultural%20Nursing%20Theory%20or%20Culture%20

Care%20Theory%20by%20Madeleine,cultural%20values%20health%2Dillness%20cont

ext.

Alzheimer’s Associatiom. (n.d.). A GUIDE FOR FAMILIES CARING FOR SOMEONE WITH

ALZHEIMER’S DISEASE OR A RELATED DEMENTIA. Alz.Org.

https://alz.org/media/manh/documecnts/Alzheimer_s-Family-Care-Guide-(FCG).pdf