This website uses cookies to ensure you have the best experience. Learn more

Cultural Paper

3354 words - 14 pages

Dialysis case study
A 66-year-old black male was seen by his primary provider for complaints of fatigue, anorexia, swelling of hands, face, and ankles, muscles cramps, and increased difficulty breathing. He has a 3-year history of poorly controlled hypertension related to non-adherence to the medical regimen. His B/P routinely runs in the range 155-165/92-102. His B/P today was 170/105. The client does not like to take pills and feels that they are not necessary. He also has been reluctant to modify his diet and likes to eat fried foods. He does not think his eating habits are causing any problems. Because of these symptoms, the client was admitted to the hospital for treatment and ...view middle of the document...

Arteriovenous Graft
List 2 advantages and 2 disadvantages of each of the sites.
Dual lumen catheter
1. Provides quicker access for dialysis doesn’t take as long as a fistula
2. Can still use arms to check blood pressure, draw blood, and administer IV
1. Unable to enjoy baths, swimming, or showers
2. Can get clogged or become infected
Internal Ateriovenous Fistula (AVF)
Advantage: 1. there is less chance for infection
2. Can be used long term
Disadvantages: 1. Need to be careful with that arm, (can’t sleep, put pressure, or carry anything heavy.
2. It can take up to four months for the fistula to develop
Arteriovenous Graft
Advantage: 1. you can place it in three different arteries (radial, brachial, and femoral
2. No need to create a fistula, graft can come from human umbilical cord, saphenous vein, or bovine, (cows) carotid artery
Disadvantages: 1. it is not as strong as the fistula
2. Access site might need to be changed more often than fistula
During the hospitalization, he had a permanent hemodialysis catheter (perm- catheter: dual lumen catheter) inserted as an access site. He received dialysis three times each week and his condition improved. Because of the progress he made, he was sent home and was to continue his dialysis treatments as an outpatient.

What does the client need to be taught concerning the permacatheter?
Teach the patient how to care for the site such as keeping it cleans, not getting it wet.
Avoid removing the cap on the catheter, only the nurse should be doing this
Avoid swimming or taking baths or showers
Keep dressing dry at all times to reduce the risk of infection
Ensure that gloves and a mask are worn for your protection whenever the dressing is being changed
Report any signs of infection such as, drainage, bleeding, foul order, pain, swelling or redness
Keep all follow up treatment appointments
Call the doctor if he has any questions or concerns regarding the permanent catheter.
Educate patient to follow the treatment regimen such as following nutrition plan, taking medications, getting vital signs checked (Wt, BP, Pulse, RR, Temp) and ensuring he maintains his blood pressure under control based on his doctors recommendation.
Ensure that he keep the clamps tight and closed when not the ports are not being used

He was admitted to the hospital 4 weeks later for the creation of an arteriovenous (AV) fistula or graft. Outline the routine home care for these two access sites.

Routine home care for fistula or graft: this information pertains to the arm that has the fistula or graft for dialysis. Please follow guidelines below.

Use your arm for dialysis only.
Don’t allow anyone to check your blood pressure on this arm
Don’t sleep or put weight on your arm
Don’t lift or carry anything heavy and avoid putting pressure on your arm
Don’t allow anyone to take a blood sample...

Other Papers Like Cultural Paper

Cultural Competency Paper

1303 words - 6 pages Cultural Competency Community Agency: The American Red Cross Linda Rahnn BSHS 422/ Cultural Diversity and Special Populations May 11, 2013 The American Red Cross serves our nation as one of the most premier humanitarian organizations around the world for helping people in crisis. Depending on the public’s contributions such as blood, time and money to support the resources needed to help

Queen Latifah Cultural Analysis Paper

1144 words - 5 pages Sarah Waring Topics in Hip Hop Thomas Taylor Cultural Analysis: Queen Latifah Queen Latifah is an African American female MC turned TV and movie actress. Her raps and or songs served different social purposes and her focus has remained unbreakable. Latifah’s values could and can be heard in her music. Latifah was skilled at her craft and was able to reach out and connect with her intended audience. It is a known fact that Queen Latifah’s

Paper On The Background Of The Cultural Dance In India

3555 words - 15 pages dances serve the purpose of telling a story.The next term, gender, is a basal and insurmountable existential bisection "which must inevitably define cultural experience and the perception of reality" (quoted in Thomas). Since culture ultimately exists in the mind's eye of particular individuals, all cultures must be multiplied by two: the male culture and female culture. Due to this fact, one is then forced to modify his or her understanding of the

Identity, Olympics, and the Canadian Myth (1st Year Cultural Studies Paper)

1131 words - 5 pages process by which often innovative or resistant cultural forms are taken up, incorporated, and commodified by the culture industry” (O&S 353). There is considerable effort in the marketing to preserve and protect the brand, and the image that the Olympics is conveying is strongly informed by native aesthetics that covers over the political conflict around the uses of first nations designs. The key to the sweater becoming “cool” on campuses and selling

Cultural Diversity

891 words - 4 pages talents and skills. While researching for this paper I found an article on Diversity in Graphic Design by Rodney Ross. In this article, Ross discusses “ that there is a deep rooted issue in the graphic design industry” regarding cultural diversity (Ross, 2012). I thought I would include this in paper, as I am going to college to be a graphic designer I wanted to see how cultural diversity reflects on this field. At present, “the problem is

Cultural Diversity

1068 words - 5 pages result of their differing cultures, personalities and physical appearance. Through the years, different groups of people have come up with cultures which help them develop spiritually, morally and mentally. As such these cultures have become building blocks in their lives and work places. This paper shall focus on cultural diversity in work places. A detailed discussion shall be presented on how this diversity may affect an organization either

Cultural Competence

1205 words - 5 pages living in the United States is rapidly increasing. “Between 1990 and 2000, the number of foreign-born Hispanics from the Dominican Republic (DR) in the United States increased by 98 %” (p. 93). Language barriers, lack of access to preventative care, and lack of insurance are some of the factors that affect the health of the Hispanics population (Hicks, 2012). The purpose of this paper is to increase awareness of the affects cultural competency

Cultural Background

344 words - 2 pages Cultural Background In society today, there are many values and beliefs among individuals that will change through time. One of the most major sources of determining an individual’s identity would be their cultural background. As cultures mix together and interact, changes occur. In this paper, I will discuss how I learned my culture growing up and how it made me into the person I am today. Culture is the totality

Cultural Differences

705 words - 3 pages 4 Cross Cultural Issues in Business" from Anti Essays, your source for free research papers, essays, and term paper examples. Japan There are many advantages in a company seeking to expand into the Japanese Market, it is one of the world’s large economies.   There are also cross cultural issues in an American Company marketing to Japanese Society.   A company can very easily “make it” or “break it” if not sensitive to the culture and

Cultural Studies

1828 words - 8 pages Cultural Artifact Palwasha khan AIU Online   Cultural Artifact A cultural artifact is a man-made object which gives information about the culture of its creator and users. The artifact may change over time in what it represents, how it appears and how and why it is used as the culture changes over time. This can also be seen in bio facts. A bio fact represents biotechnological changes in a living entity, according to cultural visions. It

Cultural Diversity

1294 words - 6 pages that are known throughout the international community. Though there are many differences between these two vast cultures, it is precisely these diverse factors that shape the cultural atmosphere of each nation. In this paper I will discuss the similarities and differences between these two cultures using first-hand accounts in the form of a personal interview and factual evidence backed by research. Language Language is a universal form of

Related Essays

Cultural Differences Paper

1863 words - 8 pages Cultural Differences Paper COM/360 Nicole Kragt Cultural Differences Paper “People must live and interact together for the culture to survive. In doing so, they must develop a way of relating that strikes a balance between showing concern for themselves and concern for others” (Koester & Lustig, Chapter 5, 2010). There are over 7 billion people in this world with thousands even millions born even day, but we as individual units

Cultural Diversity Conflict Paper

958 words - 4 pages Scott Kenyon Baker College Conflict Management Cultural Diversity-Conflict Paper UIN# 105-65604 Cultural Diversity and Conflict Conflict is a normal part of life, there are bound to be miscommunication and differences of opinion when relating to work, family and relationships. How you choose to handle them can change the level of success you achieve in all areas of your life. Now imagine if you are dealing with a person, who has

Amish Cultural Research Paper

2298 words - 10 pages Amish Cultural Research Paper Amish Cultural Research Paper Imagine living in a society where the members socialize exclusively with each other and not with the outside world. The men of this society dress conservatively in dark colors sporting clean-shave until married when they switch to beards. The women, wearing only full skirts, wear their hair up in a bun and covered with a simple white cap or bonnet. The community, called an

Cultural Ant Paper

1171 words - 5 pages To Medicate or Not-The Great AD/HD Debate English Composition II/Eng122 March 25, 2008 Abstract Researchers have examined the great debate surrounding ADHD and medication. Trying to decide whether or not to medicate your child can be a very difficult decision. There is no long term research to support or deny that medication helps ADHD sufferers. The decision to medicate can be made be the parents, psychologist, physician, and sometimes