Cultural Heritage Assessment

Paper instructions

Instructions Cultural Heritage Assignment

Individual Client Specific Assessment

Each student will complete a thorough cultural assessment on a client of his/her choice.  The client should be from a different culture than the student. The assessment should determine the cultural beliefs/values of the person.

Based on the idea that everyone is influenced by cultural variations, and the number of variations is increasing everywhere with the large number of immigrants moving from one country to another, nurses must understand cultural variation as a basis for even minimally safe and effective care (Weber & Kelley, 2018)

To complete a culturally competent assessment, it is essential to interact with the client showing respect for the person, the family, and beliefs. Challenge yourself to learn about many of the cultural groups in your geographical area and interact with them enough to gain some understanding and appreciation for their worldviews.

Use your knowledge when meeting and assessing your clients, but be alert for behaviors, descriptions, or physical variations that need to be clarified as normal for their culture or abnormal and needing further assessment.  All aspects of the current health care system must undergo fundamental change to respond effectively to the diverse people who comprise American society today.

Heritage Assessment

Background:  The heritage assessment is based on the concept of acculturation and how consistent the client’s lifestyle is with the cultural group from which it originates, or the traditional habits of the client’s family’s culture Weber & Kelley (pg. 197).

This set of questions is used to determine a person’s ethnic, cultural and religious background.  The heritage assessment is helpful to determine how deeply a person identifies with his or her traditional heritage.  This assessment is very useful in setting the stage for understanding a person’s traditional health and illness beliefs and practices ad in helping determine the family and community resources that will be appropriate for support when necessary.

Note: The greater the number of positive responses, the greater the degree to which the person may identify with his or her traditional heritage.  The one exception to positive answers is the question about whether a person’s name was changed.  The respondent is credited one point for answering “no.”

Format

 

Use the attached guides beginning on page 3 to gather the appropriate information, refer to Chapter 11, in your textbook.

 

 

The completed project must include:

 

1. Self-Assessment – (form belowstarts on page 3)
2. Heritage Assessment (form below starts on page 3)
3. Discussion of the client’s specific cultural values, beliefs and issues that you identified with Two (2) Actual/Potential Nursing Diagnosis in NANDA format. Use scholarly writing, analysis and reflection as appropriate in your answers (begins at the end of the questions).
4. References (at least 2) for the discussion section, cited and listed in areference List.
5. APA format is required, 12 Times New Roman font, with a cover page.

 

For the Self-Assessment and Heritage Assessment portions of the assignment, you can delete the Instruction portion of this assignment and edit the document that follows by typing in the client’s answers. Use analysis and reflection as appropriate in your answers.

 

THIS DISCUSSION PORTION NEEDS TO BE TYPED IN ESSAY/PARAGRAPH FORMAT (APA and you need 2 references, which you can use your textbook as one).

 

Finally,remember the greater the number of positive responses, the greater the degree to which the person may identify with his or her traditional heritage.  Analyze and reflect on the degree to which you think your client identifies with their traditional heritage. You will also need to include at least 2 actual/potential nursing diagnoses in NANDA format and explain how you came to these diagnoses. Each student should submit their assignment via Moodle and be prepared to discuss in class

 

Resources

Any related text or journal

 

Suggested Web Sites:

 

Center for Disease Control and Prevention: http://www.cdc.gov

Trans/cultural Nursing Society: http://tcn.org

National Center for Cultural Competence: https://nccc.georgetown.edu/

https://www.cms.gov/About-CMS/Agency-Information/OMH/Downloads/CLAS-Toolkit-12-7-16.pdf

http://www.commonwealthfund.org/topics/current-issues/vulnerable-populations

https://sis.nlm.nih.gov/outreach/multicultural.html

 

 

 

 

 

 

 

 

 

 

Cultural and Heritage Assessment

 

Individual Client Specific Assessment

 

Please answer the following questions:

1. What is your sociocultural heritage?
2. What major sociocultural events have occurred in your lifetime?
3. What is the demographic profile of the community you grew up in? Has it changed; if so, how has it changed?
4. How would you acquire economic help if necessary?
5. How do you define health?
6. How do you define illness?
7. What do you do to maintain and protect your health?
8. What do you do when you experience a noticeable change in your health?
9. Do you diagnose your own health problems? If yes, how do you do so?  If not, why not?
10. From whom do you seek healthcare?
11. What do you do to restore your health? Give examples.

 

Heritage Assessment

 

This set of questions is used to determine a person’s ethnic, cultural and religious background.  The heritage assessment is helpful to determine how deeply a person identifies with his or her traditional heritage.  The greater the number of positive responses, the greater the degree to which the person may identify with his or her traditional heritage.  The one exception to positive answers is the question about whether a person’s name was changed.  The respondent is credited one point for answering “no.”

 

1. Where were you (interviewee the person who is being interviewed) born? ___________

 

2. Where were your parents/grandparents born?

 

Mother:
Father:
Mother’s mother:
Mother’s father:
Father’s mother:
Father’s father:

 

3. How many brothers_____and sisters_____do you have?

 

4. In what setting did you grow up? Urban______Rural_____Suburban______

Where? __________________________

 

 

 

 

5. In what country did your parents/grandparents grow up?

 

Mother:
Father:
Mother’s mother:
Mother’s father:
Father’s mother:
Father’s father:

 

6. How old were you when you came to the United States? _______

 

7. How old were your parents/grandparents when they came to the United States?

 

Mother:
Father:
Mother’s mother:
Mother’s father:
Father’s mother:
Father’s father:

 

8. When you were growing up who lived with you? _________________

 

9. Have you maintained contact with:
10. Aunts, uncles, cousins?_____Yes ______No
11. Brothers and sisters?_______Yes______No
12. Parents?________Yes______No
14. Does most of your family live near you?_______

 

11. Approximately how often did you visit your family members who lived outside your

home?

_______Daily______Weekly____Monthly____Less than once a year____Never

 

12. Was your original family name changed?________Yes________No

 

13. What is your religious preference?______Catholic_____Jewish_____Protestant (denomination)______Other_______None

 

14. Is your significant other of the same religion?_____Yes_____No

 

15 Is your significant other of the same ethnic background as you?_____Yes_____No

 

16. What kind of school did you attend?_____Public_____Private_____Parochial

 

17. As an adult, do you live in a neighborhood where the neighbors are the same religion and background as you?_____Yes_____No

 

18. Do you belong to a religious institution?_____Yes_____No

 

19. Would you describe yourself as an active member?_____Yes_____No

 

20. How often do you attend your religious institution?_____More than once a week_____Weekly_____Monthly_____Special holidays only_____Never

 

21. Do you practice your religion or other spiritual practices in your home?____Yes_____No

If yes, please specify:_____Praying_____Bible reading_____Diet_____Celebrating religious holidays_____Meditating

 

22.Do you prepare foods of your ethnic background?_____Yes_____No

 

23. Do you participate in ethnic activities?_____Yes_____No

If yes, specify:_____Singing_____Holiday celebrations _____Dancing_____Costumes _____Festivals_____Other

 

24. Are your friends from the same religious background_____Yes_____No

 

25. Are your friends of the same ethnic background as you?_____Yes_____No

 

26. Do you speak a language other than English?

 

27. What is your native (non-English) language? ________________________

 

28.Do you speak your nativelanguage? _____Yes _____No

 

29.Do you read in your native language?_____Prefer_____Occasionally_____Rarely

 

 

On the last page, begin the Discussion of the Client’s Specific Cultural Values, Beliefs and Issues (Narrative form, scholarly writing, references). Follow this with your two or more problems, Nursing Diagnosis and justification.

Remember the greater the number of positive responses in your cultural assessment, the greater the degree to which the person may identify with his or her traditional heritage.Analyze and reflect on the degree to which you think your client identifies with their traditional heritage.