Quote from LauraLou
I work as a nurse tech on a postpartum floor. We have a lot of pts from other countries. Many of them have different ideas about postpartum care, such as not bathing, not getting out of bed, not caring for their infant except to feed.
Do I respect their beliefs and let them to stay in bed, etc. or do I try to make them conform to the plan of care? We are taught to respect cultural diversity but what if that diversity puts pts at risk for DVT or infection?
Some nurses force the pts to ambulate, bathe and demonstrate infant care, while others allow the pts to do whatever they want. I am not sure which approach is correct.
Thanks for your help!
I have come across this time and again in caring for patients from certain cultural backgrounds. I usually find the "caregiver" or "person in charge" in such cases, often a senior female family member, and appeal to them regarding the importance of early ambulation for their health and to avoid things like DVT and atelectasis, esp. in post-op patients. OFTEN if you can get this person to see the good in what you are saying, they will help you to get the patient herself to see it.
Forcing won't work, and it is VERY disrespectful----often they will just begin not to trust you and not listen anyway. PAY CLOSE ATTENTION to family dynamics and relationships. Observe how the family members interact. Often the ladies who will not get up or do anything for themselves have SOMEONE helping and caring for them---someone "in charge" per se. Like I said, often it is a senior female family member, like a mother/mother-in-law or sister/aunt. It may also be the woman's husband.
Appealing to and gaining TRUST from this care person, as well as the patient, is critical in order to gain cooperation. It CAN BE DONE, believe me. But you do need to appeal to their sense of what is best for them and to get the cooperation and support of their family members/significant others if you are to get any place. Respect their cultural beliefs and preferences as much as possible -----just work to gain trust and it's more likely they will work with you more.
Also may I recommend you get hold of a good transcultural nursing book? There are bunch out there. I have a spiral bound one I keep in my locker at work that I love---and use as a reference as needed. Also there is the Transcultural Nursing Society as a resource ------- you can check out:
may be of good use to you! Hope I helped. Welcome to the boards.