Culturally Competent Communication

SCENARIO ONE 

Based on the limited information provided for the first scenario, the client can be said to be having pain due to lack of regular exercising and therefore the muscles over stretched which in result leads to pain within the muscles. On the other hand, the patient can also be said to be aging with time and therefore is having muscle pains. One can assume that the person that accompanied him might be his wife due to the fact that they are of the same age and they seem to be so close hence sharing every problem they have.

SCENARION TWO 

Based on the information provide on the second scenario, the patient can be assumed to be ignorant since after realizing that the arm had an issue, he never went to seek medical attention. The assumption towards the injury can be said to be a dislocation of the muscle when the man was young and this could be through an accident while playing. The patient recalls training himself how to eat with the left when he was 15 years and therefore this can be an injury acquired during that period and was not born with it. On the parents, they can be assumed to be ignorant as well and do not keep track on the health of their child. The person can be said to be of middle socioeconomic class due to the fact that he is working as an employee within a university. Additionally, the person goes to the sports medicine clinic within the campus which shows that he cannot afford to head to a private hospital for a check-up. The person can also be said to be highly pain tolerant since he lived for 24 years with the arm having the issue and was still okay until when he was exercising. Generally, these assumptions are stereotypes and could lead to a treatment decision based on my personal understanding.

SCENARIO THREE 

Based on the new information, I can possibly assume that the patient has joint or muscle pain that exist when he engages himself in exercise activities especially bike riding. In as much as I also need to consider patient values, I believe the patient needs medical attention and need not to ignore the previous medical issue he had. It is with this argumentation that I cannot change my assumptions towards the patient since after another bike riding, he will be having the same complains. I will therefore, put into consideration that the client needs financial boost to seek proper medication and care.

SCENARIO FOUR 

Question one 

Based on the provide information, the patient might be concerned about the upcoming bike riding competition that he ought to participate. This is based on the fact that the patient had said how excited he was to be part of the next competition that will be in three weeks times.

Question two 

The pain in the arm of the patient was caused by excess wrist pressure during the time of biking because of the decreased range of motion. In explanation, this is what resulted the patient being instructed not to take part in bike riding for a couple of weeks until the pain decreases since he was diagnosed with acute TFCC sprain.

Question three 

According to Kleinman’s question, the strengths should be revealed to build a better health plan. These includes resilience, adaptation, strong family structure, school resources, and religious community. On the other, patient’s concerns should also be put into consideration for better results.

Question four 

In determination of the patient’s treatment, the kind or type of suffering should be the key determination since it will call for the right prescription and treatment. Additionally, this should be determined by a qualified physician or doctor since they are believed to have correct skills and knowledge in matters aligned with health.

Question five 

To begin with, the patient ought to be anxious and concerned since for the recovery of the arm to occur, he needs to take a break from bike riding. Additionally, he is having another competition within the upcoming weeks and might miss it for the arm to recover and heal. It is with this argumentation that patient ought to be scared, anxious, and concerned.

Question six 

As a culturally healthcare practitioner, it is essentially is my capability to offer attention to patients with varied settings, values, as well as behaviors. This drives deeper than just talking their language to consideration – even acceptance – their principles as well as culture (Chang et al ., 2006).

Question seven 

If I was to redo this interaction, the question I would ask the patient include the difference between the current feeling of the arm and when he once realized it and started using the left arm to eat. Additionally, I would ask about the feeling of the arm when in the riding process. In exploring the treatment options, I would ask several questions as well as conduct x-ray for a better result. Additionally, consultation from other physicians will also be key to get other opinions. In treating of the arm, I would recommend a reduced engagement of the hand for a quick recovery. In explanation of the injury to the patient, I would exert more pressure on the wrist and ask the patient if there is any feeling of pain and do the same to the unaffected wrist for comparison and a better understanding (Morrison 2017). Treatment options would include a break from any activity engaging the arm. Additionally, I would recommend a gentle exercise to help in rebuilding strength (Atzei & Luchetti 2011). This will be negotiated based on the importance and impacts of conducting these recommendations.

Brief description 

I would recommend you provisionally avoid undertaking any actions that might lead wrist pain when the tear recovers. Additionally, will possibly commend about 5-7 weeks of physical treatment that includes doing gentle workouts to assist in rebuilding strength within your TFCC.

CC SCENARIO TWO 

Question one 

Transgender individuals undergo several health disparities and humiliation, discrimination, and absence of access to quality care (Winter et al ., 2016; Kenagy & Bostwick., 2005). Various health disparities consist of an increased danger of HIV contamination (Reisner et al ., 2016), particularly amongst transgender females of color, and minor probability of defensive cancer screenings within transgender males.

Question two 

In creating a welcoming environment for transgender individuals, a person needs to describe barriers faced by LGBT people in accessing healthcare and why these barriers exist. Additionally, recognize actual tools to include within an institute, association, or hospital offer subtle, sustaining, knowledgeable as well as sanctioning healthcare for the LGBT society (Graham et al ., 2011). Also, addressing the issues they undergo and considering them can be impactful in creating a welcoming environment.

Question three 

Various terms always look offensive to transgender people. These includes Fag, Faggot, Dyke, Homo, Fairy, Lez, Puff and other similar epithets. Additionally, using the term “ that’s so gay ” might lead to discrimination as well as isolation hence should not be used (James et al ., 2016). Transgenderism word should also not be used since it is regularly a term applied by anti‐transgender campaigners to desensitize transgender individuals and decrease who they are to a “disorder.”

Question four 

Items to be included in the intake forms should be the name, age, address, social security number as well as any other information that can be valuable.

Question five 

Provide visual clues for LGBTQ patients that your practice is a safe place (Graham et al ., 2011). Additionally, one has to consult the strategies of care for the LGBT.

References

Ahn, A. K., Chang, D., & Plate, A. M. (2006). Triangular fibrocartilage complex tears.  Joint Diseases ,  64 (3), 114-119.

Atzei, A., & Luchetti, R. (2011). Foveal TFCC tear classification and treatment.  Hand clinics ,  27 (3), 263-272.

Healthline (1 st Dec 2017). Understanding TFCC Tears . Retrieved from https://www.healthline.com/health/tfcc-tear

Winter, S., Diamond, M., Green, J., Karasic, D., Reed, T., Whittle, S., & Wylie, K. (2016). Transgender people: health at the margins of society.  The Lancet ,  388 (10042), 390-400.

James, S., Herman, J., Rankin, S., Keisling, M., Mottet, L., & Anafi, M. A. (2016). The report of the 2015 US transgender survey.

Graham, R., Berkowitz, B., Blum, R., Bockting, W., Bradford, J., de Vries, B., & Makadon, H. (2011). The health of lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding.  Washington, DC: Institute of Medicine ,  10 , 13128.

Kenagy, G. P., & Bostwick, W. B. (2005). Health and social service needs of transgender people in Chicago.  International Journal of Transgenderism ,  8 (2-3), 57-66.

Poteat, T., Scheim, A., Xavier, J., Reisner, S., & Baral, S. (2016). Global epidemiology of HIV infection and related syndemics affecting transgender people.  Journal of acquired immune deficiency syndromes (1999) ,  72 (Suppl 3), S210.