2004- Discussion Post #2
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School
Memorial University of Newfoundland *
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Course
2515
Subject
Medicine
Date
Jan 9, 2024
Type
Pages
2
Uploaded by CountCrown16140
Although the NP provided adequate care, it was not patient-centred care. When choosing
treatments for this patient, the NP colonized the patient by ignoring their natural treatments. The
NP failed to take into consideration that a history of trauma and abuse can lead to conditions the
patient currently suffers from, such as diabetes. The NP should work harder to make the patient
feel more in control of their care so as to not cause more trauma for the patient by making them
feel colonized. The NP should have further assessed the patient's past and how it may have
helped in the development of their current health situation. The following points are notable:
●
The patient might not have fast access to or have a local pharmacy where they can get
the equipment needed for the BID glucose testing. The NP should educate the patient
on at-home glucose monitoring.
●
Asking the patient about treatments they were using on their foot would have made the
patient feel more in control of their care. The NP should educate the patient on dressing
care.
●
The NP could recommend herbal products that can lower blood glucose, like ginseng
and garlic, and evaluate the use of metformin at a later date. One of the first steps in
bridging the gap in indigenous health care is realizing western medicine is not always
the best route for all patients. They should also be notified of its weight-loss effects.
●
The NP should consider the foods the patient has access to at home on the reserve.
Had this been discussed with the patient, the NP could have collaborated with the
patient in designing a meal plan they could easily follow. Telling the patient to simply
follow Canada’s Food Guide may already make them feel disadvantaged due to their
lack of access to the reserve.
●
The NP failed to properly assess or look at treatment for the patient's reported pain or
consider the fact that years of trauma or abuse in the patient's past may exacerbate
pain. There are natural remedies to be considered here as well.
●
Health for many indigenous patients is holistic and includes the social setting. Groups
and programs should be provided to the client so they have access to ways to go
through care with support from others in their community. A sense of community is
important to many indigenous people.
Collaborating with your patient to find out the care that is best for them in the most holistic sense
is important. Always make sure to make your patient feel heard and do what helps relieve
anxiety as much as possible.
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