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Culturally Safe Health Promotion Education for Chronic Patients
Implementation of patient education in the broad healthcare settings must consider the cultural needs of patients. It is important that approaches evaluate the unique cultural values, perspectives and beliefs abhorred by patients before implementing educational frameworks. This paper evaluates implementation of culturally safe health promotion education for a patient with hypertension. It provides an overview of the patient`s condition, description of the health concern, assessment of a cultural appropriate topic, its role in addressing the health concern and education activity.
Overview of Patient`s Chronic Condition
While Mr. David Bonner, in scenario one, has a health condition that includes diabetes and heart disease, high blood pressure, also known as hypertension, is a significant health condition that is likely to reduce his quality of life (Unger et al., 2020). Defined as blood pressure above 140/90mmhg and considered severe when the pressure is above 180/120, hypertension is a condition in which the long term force of the blood against the walls of the arteries is high enough that it can cause other health problems such as heart attack and ultimately death of an individual. Based on the scenario, the patient has a history of high blood pressure and is currently using medication to maintain the correct blood pressure levels. Similarly, the vital signs show that the patient has 150/90, indicating that the patient is hypertensive. Forouzanfar et al (2017) observes that hypertension is one of the leading causes of death worldwide, responsible for 7.6 million deaths per year.
Health Concern: Hypertension
Hypertension is a significant health concern in this case since the patient and his family have a history of heart disease. A study conducted by Lüscher (2016) underlines that the heart working under increased pressure causes different heart disorders. Hypertensive heart disease includes heart failure, thickening of the heart muscle, coronary artery disease, and other conditions (Bermejo et al., 2018). Some of the symptoms of heart attack that patient shows are chest pain and chest pressure, signs that indicate that high blood pressure that the patient experiences has begun causing hear diseases and most probably heart attack (McCollister et al., 2016). In this context, high blood pressure is the primary health concern of the patient that has to be managed to prevent heart disease, leading to the death of the patient (Niiranen et al., 2016). Hypertension is a significant health risk to individuals in society, and considering the position of the presenting patient, it is apparent that condition presents a significant health concern. It is also important to note that the patient has a history of smoking and fond of diet that are high in saturated fats, factors that aggravate hypertension. Hypertension is linked to an overall reduction in the health-related quality of life among patients besides aggravating the risk exposure to cardiovascular diseases (Petrie et al., 2018). Notably, cardiovascular diseases contributes to a third of global deaths, and the fact that hypertension increases the risk exposure implies that the patient’s condition can potentially lead to a fatality (Lopez & Adair, 2019).
Culture Appropriate Topic
One culturally appropriate topic for a client health promotion education session that would address the identified health concern is reduction of high blood pressure. Reduction of high blood pressure aims at reducing the pressure to normal range, that is below 140/90mmgh. The topic is important to address the patient health concern since it provides education about hypertension, its causes, consequences and most importantly how it can be solved. While medication is important to manage blood pressure in hospitals, there are several homemade and self-management techniques that can be applied by the patient to maintain normal blood pressure, factors that the topic will highlight. While some of the consequences of hypertension such as pressure and pain in the chest have been observed in this particular case, it can also burst some blood vessels that can ultimately cause death.
One of the ways of reducing blood pressure that becomes important part of this topic is lifestyle particularly eating healthy, avoid smoking, and engaging in regular exercise. According to the study conducted by Smith et al. (2017), diet has a big impact on blood pressure. Foods that have got high fat content increase risk of clog and narrowing of the arteries. In this particular case, the patient is fond of diet that has high fat content and cholesterol, factors that increase blood pressure. In order to maintain normal blood pressure the patient should eat a diet that is rich in whole grains, fruits, vegetables and low-fat dairy products. On the same note, foods that have high content of salt and sugar alleviate the blood pressure. As observed from the presentation of the patient’s case, he is a fun of diets that have high sugar and salt content. According to Smith et al. (2017), sugar and salt, Salt, or specifically the sodium in salt, is a major contributor to high blood pressure and heart disease. This is because of how it affects fluid balance in the blood. In this case, the patient choose low-sodium alternatives of the foods and beverages he normally buys. On the same note, he should eat fewer processed foods. Only a small amount of sodium occurs naturally in foods. Most sodium is added during processing. Additionally, another lifestyle that contributes to high blood pressure is smoking, another character that has been presented by the patient in this particular case. Notably, each cigarette you smoke increases your blood pressure for many minutes after you finish. Lastly, one of the most important part of this topic is regular exercise. Regular physical activity such as 150 minutes a week, or about 30 minutes most days of the week lowers blood pressure by about 5 to 8 mm Hg. It is important to be consistent because if the patient stop exercising, the blood pressure can rise again.
The Role of the Topic in addressing the Health Concern
Aboriginal patients, communities, and families must receive education on concepts linked to people and their relationship in promoting better healthcare outcomes. The imperative of this topic lies in the fact that patients, family, and the community will be able to identify their roles in care processes. According to Smith et al. (2017), this topic is culturally appropriate as it allows discussions on the cultural needs of patients. It will enable healthcare professionals attending to the patient to deal with issues in a more practical and task-based fashion. As part of education promotion to improve healthcare outcomes for the patient’s condition, understanding the roles of kin and others reduces the impact of barriers related to cultural appropriation, including shame on receiving treatment from individuals from the outside the family or the community (Alicea-Planas et al., 2016).
A recent development in healthcare practices continues to advance the idea of patient-centered care, highlighting the need for care practices to focus on dignity and respect for the patient. Patient-centered care underlines the treatment of a person involved in receiving intervention with respect and dignity and engaging them in every decision about their health. It implies responding to patients, preferences, needs, and cultural values, elements that are crucial in the topic of roles of kin and others in the care of the present patient. The topic promotes aspect of patient-centered care, mainly based on cultural values that mean it will play an essential role in helping the patient self-manage their chronic condition and optimize their health. Through the topic, healthcare providers will establish positive relationships based on trust and understanding. It will allow appropriate dissemination of information on care approaches to patients on self-management. The topic is critical in promoting the knowledge that both the patient, family, and healthcare providers have a role to play to achieve better outcomes.
Health Education Activity
Patient education is a crucial component of healthcare, contributing to informed decision-making (Anderson et al., 2017). Through education, patients develop knowledge and awareness about their care and potential treatment options. Nurses need to identify the most appropriate educational activities to achieve better outcomes. Patient education activities involve the process through which health professionals impart information to patients and their caregivers that alter health behaviors and improve health status. In the case of the patient provided, seminars will form an essential component of educational activities to induce a change in behavior. The activity recognizes that hypertension and the risk of CVD remain high in society, and change in lifestyle forms the most significant approaches in prevention. Inviting the patient to seminars will significantly impact their role in the management of the condition.
Structure of Health Education Activity
Seminars are everyday activities in the provision of health education. Mr. David Bonner’s condition requires constant attention and self-management, and that cannot be achieved without knowledge and awareness. The seminar’s structure will encompass assessment of the Hypertension risk factors in the community of the patient. It is underlined that hypertension incidence rate remains high, and thus every individual requires education on prevention, management, and treatment. The method for the activity will entail direct lectures to patients and non-patients in a community-based setting. It will cover topics in lifestyle change and behavior, including diet, exercising, and smoking. The seminar will require resources such as halls for hosting participants, capital to provide social support for patients from low-income families, and writing materials. It will involve patients and non-patients interested in improving health outcomes in the community.
Justification
Implementation of seminars as educational activities in healthcare remains crucial based on its attributes, including the creation of opportunities for sharing insights and ideas on resolving the problem at hand (Camargo et al., 2020). Healthcare practices and strategies are complex, and the increasing prevalence of chronic diseases such as hypertension and cardiovascular diseases implies that approaches for interventions need to assume different scopes. The rationale for the use of seminars underlines its role in offering fresh perspectives when dealing with problems. Seminars will allow patients to develop interrelations through discussions, which is essential in improving overall understanding and awareness on management, control, and treatment of presenting conditions. Lecturing the patients and non-patients on the health problem promotes understanding through engagement.
It allows participants to take actives roles in learning by asking questions and establishment clarity. Health education is diverse and entails providing support to patients, especially when it comes to social support. The rationale for the capital resource recognizes that some patients will require support for diet improvement and equipment to support active lifestyles. The educational framework emphasizes collaboration between family members and healthcare providers, analyzing family contexts that either improve or undermine the management of the condition, procedures, and the extent of healthcare professional education available in the community.
Conclusion
Patient education is an important aspect of disease control, management and treatment among patients living with chronic conditions. Based on the evaluation of the presenting patient, it is important to note that education will be key in improving health status. Patients are empowered to engage in care processes more when they receive education. Patient education improves the chances of positive outcomes when dealing with chronic condition patients.