Professional Documents
Culture Documents
Samantha Moussari
NUR 4113
September 6, 2017
Background
The client, Aicha, is a 76-year-old Moroccan woman who believes in clinical healing but
focuses more on spirituality. Aicha lives in Morocco but travels to America and stays months at
a time with her daughter. She does not have a job, so traveling for her is flexible. This client has
five children, all whom provide for her the means to live. Her day consists of going to the
market, caring for animals (chickens or rabbits), and picking up around the house. A detail that
needs to be recognized and worked with for this client is her illiteracy. For this reason, the client
is educated through videos and verbal communication. Healthy People 2020, explains that there
are many online tools for educational and easy access but this client is limited to these things
because of her resources and illiteracy. She communicates verbally. Aicha has no hearing or
speech issues, although she does require glasses to see. This client is religious so when possible
Environmentally, this client is very comfortable. She explains that she is free to do what
she wants and makes her own decisions. Although this is true, she expresses that her children do
try to encourage her to be more physically active. According to Healthy People 2020, physical
activity does assist in decreasing the risk for cardiac disease. She is encouraged to keep moving
because she does not have a job so it is easy for her to fall into a slump. She has high cholesterol
and high blood pressure. She doesn’t have a health care provider and only takes one drug that she
buys over the counter (fish oil). According to Healthy People 2020, healthcare providers can
educate patients on monitoring interventions for blood pressure enhancing treatment decisions.
Most remedies are home remedies. Additionally, Healthy People 2020 expresses that one to one
patient counseling enhances adherence. For example, to help with a cold one simply drinks
SENIOR HEALTH PROMOTION PROJECT 3
honey and lemon in their tea. Although this client does not follow rules by a healthcare provider,
she does have a great diet of homemade meals with many vegetables.
Nursing diagnosis
This client suffers from high blood pressure but has not been educated about what the
risks are. Aicha has not been educated because she does not report to a healthcare provider. For
this reason, I chose the following nursing diagnosis: deficient knowledge related to lack of
knowledge as evidence by unaware of issue. This is an important diagnosis because step one in
healthcare is educating a client about their problems. A short-term outcome for this client is to
verbalize back an understanding of the disease process by 4pm after education has been given.
An anticipated long-term outcome for this client is for her blood pressure to decrease one month
Interventions
The teaching plan was all given through verbal communication in Moroccan/Arabic
because Aicha cannot read or write. The objective for the teaching plan was to encourage a
healthier lifestyle for Aicha because the client’s blood pressure isn’t elevated enough to need
medical treatment (drugs). Although the client would benefit from seeing a health care provider,
given her recourses a substantial goal would be for her to reduce it by utilizing primary
preventions. My teaching plan was solely an auditory teaching plan. I was able to use the client’s
believe that the client will be more likely to comply if she understands the reason for it. At this
time, I made it a goal for Aicha to be able to explain back to me what she understands about her
SENIOR HEALTH PROMOTION PROJECT 4
health care issue. By 4pm after the education was given, the client was able to explain back to
me her correct understanding of what blood pressure is and how it can be harmful.
The second intervention was aimed at reaching the long-term goal for Aicha. I did this by
having the client watch an appropriate video on how she can help decrease her blood pressure. A
video was used because it was appropriate for her auditory learning style. This video discussed
eating less sodium, proper food groups, keeping active, losing weight, and reducing stress.
Hypertension through Strengthening of the Health Care Delivery System: a pilot study,” the
video that was provided for Aicha to watch covered the essentials for decreasing blood pressure.
The article explains that dietary modification and physical exercise have the most optimal
outcome. These interventions and goals are appropriate for Aicha because her socioeconomic
status does not permit her to go to the doctor annually. The goal is for Aicha’s blood pressure to
decrease 1 month after teaching. I included the daughter in the education process about the need
for Aicha’s necessary diet and physical activity change. I anticipate a change will be made.
Evaluation
Primary nursing outcomes that were included for this client are healthy eating and
physical activity. Secondary outcomes are screening for blood pressure. Tertiary outcomes are
for the client to meet with a health care provider. I believe my teaching methods were well
accommodating for the patients learning style. Throughout the teaching plan the client responded
positively by saying “in Gods willing my daughter” and “in Gods willing things will get better.”
Although I do feel that I had a positive impression on the client’s healthcare, I could have better
educated the patient’s daughter. For example, I could encourage the daughter to buy an
automatic blood pressure cuff and encourage her to document the patient’s daily blood pressure.
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Summary
This project made me feel like I was practicing as a real nurse. Being the educator made
me realize the responsibility that I was withholding. This patient was taking what I was saying
seriously and putting her health care future into my hands. This project taught me how to alter
education for cultural and educational purposes. This teaching project was truly beneficial for
References
Hypertension: Primary prevention, screening and routine monitoring. (2014). Practice Nurse,
44(12). 38-39
Office of Disease Prevention and Health Promotion. (2017). Healthy People 2020. Retrieved
from https://www.healthypeople.gov/2020/tools-resources/evidence-based-
resource/cardiovascular-disease-self-measured-blood-pressure
Qidwal, W,m Kazmi, N., Nanji, K., & Anees, S. (2016). Effectiveness of an Intervention
Program for the Management of Hypertension through Strengthening of the Health Care
Delivery System: a Pilot Study. Middle East Journal Of Internal Medicine, 9(2), 3-11.
http://www.who.int/mediacentre/factsheets/fs317/en/