Mrs. Franklin-Jones: Leininger's Culture Care Model to Recovery - Essay Sample

Introduction

The case of Mrs. Franklin-Jones generally majors on the application of Leininger's Culture Care Model in taking care of a patient after recovery from acute myocardial infarction. From the story, Mrs. Franklin-Jones is stuck to her culture, and she associates it with the heart ailments that she experiences. As she talks to Nurse Julie Hernandez, it is clear that her entire conversation was based on her cultural lifestyle. As she recovers, it is appropriate that the nurse uses Leininger's Culture Care Model to take care of Mrs. Franklin-Jones condition since it is one of the preferred nursing theories used to address cases based patient's cultural lifestyle. However, it is required to profoundly dig into this theory's applicability while caring for the patient.

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As a nursing theory, Leininger's Culture Care Model requires that the issue of meals or foods that the patient will take be addressed before the patient gets discharged (Smith & Parker, 2015). According to Mrs. Franklin-Jones' story, she feels culturally attached to the foods she takes. She even suggests that she is willing to adjust her cooking habits; she thinks that the Jamaican cooking method is why she is experiencing a myocardial infarction. Therefore, to be in a position to tell Mrs. Franklin-Jones the best cooking techniques that can prevent her health from worsening, Nurse Hernandez must identify the foods that she has been taking and address her on the foods recommended for her condition.

Another important issue the nurse should consider before planning Mrs. Franklin-Jones' discharge is her age. Mrs. Franklin-Jones says that at times she forgets to take her medication, and feels that it may be for this reason that her condition is worsening; her age may have affected her memory. After discovering why Mrs. Franklin-Jones forgets to take her drugs; the Nurse Hernandez should find measures that will ensure that the patient doesn't skip her medication.

Nurses are required by Leininger's Culture Care Model to assess the patient occupation and determine whether it can have any impact on the patient's recovery or not; Mrs. Franklin-Jones' case not exempted. Nurse Hernandez should assess Mrs. Franklin-Jones' occupation's influence on her recovery. In the story, Mrs. Franklin-Jones categorically states that she has more limited time to shift between her new house cleaning work and the work at the school cafeteria; there are possibilities that her state may worsen due to work pressure. Consequently, Nurse Hernandez should consider the matter when planning for her discharge.

The other important issue is that Nurse Hernandez should also incorporate courage in the patient before discharge; Mrs. Franklin-Jones links her illness to her mother's disease. She fares that she might equally pass since she succumbed to myocardial infarction. To some extent, she feels that she could similarly die. Such a feeling may influence the patient's recovery; therefore, Nurse Hernandez is expected to find a way to eliminate such a sense from the patient's mind.

Significance of Culture Care Diversity Theory

Cultural Care Diversity theory is a vital tool in learning the patient's cultural background; it is also essential in influencing the care that the patient needs during an illness (Smith & Parker, 2015). Nurses use it to promote a holistic strategy used while taking care of the needs of various patients from different cultures. It thus helps nurses avoid ethical dilemmas while attending to patients with different cultures (Wolf & France, 2017).

The theory also acknowledges that individuals from diverse cultures behave differently. Due to this, many of the patients associate the faster recovery to healthcare practiced in line with their lifestyle. It is correspondingly significant to note that the nurses provide the best care having adequate knowledge of the patient's culture since it has influences on the patient's behavior.

A Plan of Care for Mrs. Franklin-Jones

Mrs. Franklin-Jones should keep check of the meals she eats, although she is used to Jamaican foods and knows mostly the Jamaican style of cooking. It is preferred that Mrs. Franklin-Jones consider the list of foods that she was advised to eat; this will help prevent her condition from worsening.

The patient should take some time off the jobs since work pressure may have a negative influence on her recovery. Considerably, Mrs. Franklin-Jones should give up one job due to her history with acute myocardial infarction. Holding to both jobs may result in a reoccurrence of her health status within a short time.

Mrs. Franklin-Jones should put an effort and have a reminder to take her medications. Due to the work pressure and maybe age factors, she stands a high chance of forgetting to take medicine. She should find a caregiver who will regularly remind her to take her medication.

Strengths and Limits of Leininger's Theory

Strengths

The theory helps nurses understand the cultural diversity among various patients, making it easy for the nurses to find conventional modes of giving care within the cultural domains of the individuals (Wolf & France, 2017). Again, nurses can overcome the ethical dilemma connected to the patient's culture.

Limitations

The main shortcoming of the theory is that it is usually challenging for nurses to develop a care plan for patients with a transcultural background at certain times. In such circumstances, the nurse-patient relationship may fail due to a lack of understanding.

Case Study #2

Assumptions of the Transpersonal Caring Relationship

In the case of Mr. Claude Jean-Baptiste's hip replacement surgery, it is clear that Jean Watson's Theory of Human Caring best applies. The theory sets various assumptions that nurses are expected to follow. One of the premises is that caring is best exercised and expressed interpersonally. The approach assumes that caring includes curative features that result in the satisfaction of remarkable human patient's needs. It also assumes that effective healthcare improves a person's health and extends to the growth of their family. Again, the theory assumes that when patients are granted with a caring environment, they can develop a potential and the chance to make the most suitable decisions as far as health is concerned.

Love Concept as Defined by Watson

As defined by Watson, the love concept is manifested in Jean-Baptiste's case since the nurses' intention depicts love (Smith & Parker, 2015). The nurses warmly welcome him into the rehabilitation institute in various languages, including his language, Creole. It thus shows that everybody within the rehabilitation institute is happy to see him recovering. During the first assessment at the facility, he is engaged in beliefs and Haitian customs that ought to be acknowledged; this also depicts the concept of love.

Using Self to Create a Healing Environment

Jean Watson's Theory defines the concept of 'self' as a conceptual gestalt that incorporates the perceptions and attributes of the relationships of 'I' and 'me.' The theory affirms that a person is required to reflect the viewpoints and characteristics of the relation of 'I' and 'me' to influence the lives of other individuals.

Jean Watson's Theory defines the concept of 'self' as a conceptual gestalt that incorporates the perceptions and attributes of the relationships of 'I' and 'me' (Pajnkihar et al., 2017). The theory affirms that a person is required to reflect the perceptions and characteristics of the relation of 'I' and 'me' to influence the lives of other individuals.

Therefore, nurses can apply the concept of "self" to develop a healing environment for patients like Jean-Baptiste. Ideally, individuals attribute a lot of love for themselves more than anyone else does. One treats oneself better in such a habit.

Thus, the nurses can use the love they have for themselves to attend to Jean Baptiste. When treated with the concept of love, Jean Baptiste will have a feeling of utmost care and passion. Generally, patients develop hope when they are treated with care and love from health providers. Jean-Baptiste's case is not an exemption, just like the nurses started treating him with much attention and passion, there are expected opportunities that his recovering process is assured. As Jean Watson explained in his theory, nurses are likely to embrace the concept of "self."

Strengths and Limitations of Watson's Theory

Strengths

The theory guides the nurses on how they can improve their healthcare; this ensures that the patients have holistic care (Pajnkihar et al., 2017). In such a healing environment, there are high chances that the patient's healing process will be quicker. Again, the theory provides a relationship between therapeutic factors and the hierarchy of needs. The connection is evident in the assumptions. This relationship gives the patient hope and the urge to heal faster.

Limitations

Watson's theory fails to present direction on measures to be considered to accomplish an authentic relation between healing and caring. Some nurses emphasize particular guidelines when giving care to some patients; thus, they may feel insecure about putting Watson's approach into practice (Pajnkihar et al., 2017). Some nurses who have applied Watson's theory claim that it is time-consuming, particularly when it comes to incorporating Caritas to exercise. Furthermore, some of them argue that personal growth is an aspect that is not universal to everyone. It might be appealing to a specific group of individuals but not individuals. Therefore, the effectiveness of Watson's theory depends on discovering a custom of combating with the gaps.

References

Smith, M. C., & Parker, M. E. (2015). Nursing theories and nursing practice. FA Davis. http://docshare03.docshare.tips/files/26827/268274013.pdf

Wolf, Z. R., & France, N. E. (2017). Caring in nursing theory. International journal of human caring, 21(2), 95-108. https://connect.springerpub.com/content/sgrijhc/21/2/95

Pajnkihar, M., McKenna, H. P., Štiglic, G., & Vrbnjak, D. (2017). Fit for practice: Analysis and evaluation of Watson’s theory of human caring. Nursing science quarterly, 30(3), 243-252. https://doi.org/10.1177/0894318417708409