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Nursing Interventions
In caring for patients with differing cultural backgrounds nursing theorist Madeline Leininger suggests three major modalities—culture care preservation or maintenance, accommodation or negotiation, and repatterning or restructuring—to help nurses provide cultural competent care (Sagar, 2012). In the hypothetical situation that I was caring for Ginny as a patient in an acute care setting I would incorporate nursing interventions, or care modalities, unique to her cultural needs into the care plan. First I would use cultural accommodation to assess anxiety and emotional distress through subtle changes in body language and affect, instead of relying on facial expression and verbal expressions of emotional change. I would need to use Leininger’s modality of accommodation as it is uncommon for individuals of Ginny’s culture to express emotions or feelings of distress to others.
Secondly, if Ginny was diabetic or showed signs of pre-diabetes I would use cultural accommodation to explore Chinese cultural foods low in simple carbohydrates to help maintain strict glycemic control. As discussed in the interview, rice is a staple food item for Chinese-Americans. Rice is also high in simple carbohydrates and not a recommended food option for diabetics. Leininger’s modality of accommodation could be used in this case to help Ginny find culturally appropriate substitutions for rice, such as tofu or lentils, and create a diabetic-friendly diet she will be likely to be compliant with. Cultural care accommodation is utilized in this case to modify a generic diabetic diet into a culturally-relevant diet that the patient will likely adhere to. Accommodation is appropriate as not all Chinese cultural foods are contraindicated...

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...ot.ca/otnow/March05/OTNowMarch05_Interpreter.pdf
Liao, J. K., (2007). Safety and efficacy of statins in Asians. American Journal of Cardiology, 99(3), 410-414. doi: 10.1016/j.amjcard.2006.08.051
Lowdermilk, D. L., Perry, S., Cashion, K., & Alden, K. R. (2012). Maternity & women's health care (10th ed.). St. Louis, MO: Mosby.
Purnell, L. (2005). The Purnell model for cultural competence. Journal of Multicultural Nursing and Health, 11(2), 7-15.
Sagar, P. (2012). Madeline Leininger’s theory of culture care diversity and universality. Transcultural nursing theory and models: application in nursing education, practice, and administration (pp. 1-12). New York, NY: Springer Publishing Company.
Swagerty, D. L., Walling, A. D., & Klein, R. M. (2002). Lactose intolerance. American Family Physician, 65(9), 1845-1850. Retrieved from http://europepmc.org/abstract/MED/12018807

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