The development and provision of culturally sensitive and meaningful nursing care is a challenging yet essential element in our rapidly changing health care environment. This article describes the use of the theory of Culture Care to assess, understand, and plan care for an aphasic Navajo man who followed very traditional ways. It is an example of how nursing praxis can be applied to a clinical setting. A description of a Navajo peyote ceremony serves to illustrate the importance of incorporating traditional healing practices into nursing and collaborative care for individuals from diverse culture backgrounds. It also describes how the participation in the Native American Church benefitted the client and his family. By using the Culture Care theory, the authors were able to make predictions about the influences of a culture specific expression, the peyote ceremony, had on the client's care.
This article defines the language disorder of aphasia and the motor speech disorders of apraxia of speech and the dysarthrias. Discussion includes depression and the five definable sets of behaviors related to the phenomenon: motor-expressive behaviors, affective, cognitive, motivational, and somatic, and the relationship of self-concept to both depression and visual and verbal thought. Detailed discussion of treatment of chronic depression inpatients with non-organic reactive factors is presented. These include positive reinforcement of desirable behaviors, avoidance of verbal punishment, labeling the disorder for the client and family, and time structuring or scheduling to assist in motivation. In addition, implementation of support from family, friends, and social relationships, tolerance of expressions of frustration and anger by the client, and environmental manipulation are considered therapeutic interventions.
The purpose of this article is to review the management of swallowing disorders in nursing home patients. The goal is to provide readers with five areas of contentious dysphagia management issues that have surfaced in several malpractice litigation cases. A detailed examination of what went wrong in the management of these patients' dysphagia from the perspective of the plaintiffs' dysphagia expert witness, as well as a discussion of what nursing home staff could have done to prevent these tragedies, is presented.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.