Full Answer Section

1. Functional Ability: Assessing and optimizing Mark’s remaining physical capabilities. (Ref: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6955596/)
2. Assistive Technology: Utilizing equipment like the iron lung and chest cuirass to support his needs. (Ref: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9869388/)
3. Patient Education: Empowering Mark with knowledge about his condition and self-care. (Ref: https://www.nursingworld.org/)
4. Communication: Facilitating effective communication methods for Mark to express his needs. (Ref: https://pubmed.ncbi.nlm.nih.gov/34113718/)
5. Pain Management: Assessing and addressing any pain Mark might experience. (Ref: https://pubmed.ncbi.nlm.nih.gov/1557456/)
6. Social Interaction: Promoting connection and support networks for Mark. (Ref: https://www.scribd.com/document/526412315/NCP-Impaired-social-interaction)
7. Patient Autonomy: Respecting Mark’s right to make decisions about his care. (Ref: https://www.nursingworld.org/~4af7be/globalassets/catalog/book-toc/guide-to-the-code-of-ethics-sample-chapter.pdf)

Leininger’s Cultural Care Diversity Model vs. Purnell Model

Leininger’s Model focuses on cultural beliefs, values, and practices that influence healthcare experiences.

Purnell Model emphasizes sociocultural factors like ethnicity, socioeconomic status, and spiritual beliefs.

Both models can be used to assess Mark’s situation, but for this exercise, we’ll use the Purnell Model due to its focus on broader sociocultural factors.

Applying the Purnell Model

Select four concepts from your list:

1. Nutritional Management
2. Social Interaction
3. Communication
4. Patient Education

Defining the Concepts (using references):

1. Nutritional Management: Planning and providing a diet that meets individual needs and preferences, considering cultural and religious dietary restrictions. (Ref: https://www.ncbi.nlm.nih.gov/books/NBK593216/)

2. Social Interaction: The process of establishing and maintaining interpersonal relationships, influenced by cultural norms and values. (Ref: https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health)

3. Communication: The exchange of information between individuals, shaped by cultural background, language skills, and communication styles. (Ref: https://pubmed.ncbi.nlm.nih.gov/34113718/)

4. Patient Education: Providing patients with knowledge and skills to manage their health, considering cultural learning styles and preferences. (Ref: https://www.nursingworld.org/)

Nursing Assessment Questions based on the Purnell Model:

Nutritional Management:

• Does Mark have any cultural or religious dietary restrictions that need to be considered in his meal plan?
• How does Mark’s limited mobility impact his ability to eat independently?
• What are Mark’s preferences and cultural practices regarding mealtimes?

Social Interaction:

• Does Mark have a support network of family and friends?
• How does Mark’s dependence on the iron lung affect his ability to socialize?
• Are there any cultural considerations regarding social interaction that need to be addressed?

Communication:

• What is Mark’s preferred method of communication (e.g., verbal, written, assistive technology)?
• Are there any cultural