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  • Cultural Health Assessment

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    The document contains a cultural health assessment questionnaire with 36 questions addressing various cultural factors that may be relevant to a patient's care. The questions are grouped into sections including language and ethnicity, social factors, reason for visit, environmental factors, cultural values and lifestyle, religious and spiritual factors, legal factors, economic factors, technology factors, education, care practices, and professional care. The questionnaire aims to gather information about a patient's cultural background, beliefs, and needs to ensure their care is culturally sensitive and appropriate.

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    The document contains a cultural health assessment questionnaire with 36 questions addressing various cultural factors that may be relevant to a patient's care. The questions are grouped into sections including language and ethnicity, social factors, reason for visit, environmental factors, cultural values and lifestyle, religious and spiritual factors, legal factors, economic factors, technology factors, education, care practices, and professional care. The questionnaire aims to gather information about a patient's cultural background, beliefs, and needs to ensure their care is culturally sensitive and appropriate.

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    © All Rights Reserved
    Descărcați ca DOCX, PDF, TXT sau citiți online pe Scribd
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    59 vizualizări4 pagini

    Cultural Health Assessment

    Încărcat de

    api-376064259
    The document contains a cultural health assessment questionnaire with 36 questions addressing various cultural factors that may be relevant to a patient's care. The questions are grouped into sections including language and ethnicity, social factors, reason for visit, environmental factors, cultural values and lifestyle, religious and spiritual factors, legal factors, economic factors, technology factors, education, care practices, and professional care. The questionnaire aims to gather information about a patient's cultural background, beliefs, and needs to ensure their care is culturally sensitive and appropriate.

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    din 4

    Running Header: MODELS FOR HEALTH AND WELLNESS 1

    Cultural Health Assessment

    Language and Ethno-history

    1. What is your country of origin?

    2. What ethnic/cultural group do you identify with?

    3. How long have you lived in this country? What led to you coming here?

    4. What language is spoken in your home?

    5. Do you speak, read, and/or understand English or another language?

    6. Are there resources/equipment that is normally use to assist with communicating?

    Social Factors

    7. How would you prefer to be addressed while here?

    8. Are there others that you would like to be involved in your care? Who?

    9. Will anyone other than yourself be participating in decisions affecting care?

    Reason for Visit

    10. When did your illness start?

    11. Have you had this illness before?

    12. How does the illness affect your life and the life of your family?

    13. What made you come to the health care facility?

    Environmental Factors

    14. Are you allergic to anything in the environment that you are aware of?

    Cultural Values, Belief, and Life style


    15. What type of neighborhood does the patient live in?

    16. Does the patient follow traditional dietary habits?


    Running Header: MODELS FOR HEALTH AND WELLNESS 2

    17. Does the patient wear native dress?

    18. How many meals per day do you normally eat? At what times?

    19. Tell me about the foods that you normally eat at mealtime.

    20. Are there foods that you do not eat ever or dont eat at certain times? Why?

    21. What is your usual bedtime?

    Religious Spiritual

    22. Are there any special considerations that should be known about related to persons of the
    opposite gender being involved in the care?

    23. Tell me about any considerations that we should know about related to your religion?

    24. Do you have any restrictions related to receiving blood/blood products?

    25. Is there anyone that we can call for you now to offer you spiritual/religious support?

    Legal

    26. Do you have legal documents/information that we should be aware of?

    Economic Factors

    27. How do you normally get medications that you need?

    28. Do you get financial assistance/support services for any of your daily needs?

    Technology Factors

    29. How will you get to your appointments?

    Education

    30. How do you believe that you learn best?

    31. Are you able to read and write? In what language?

    Care Practices

    32. Does the patient use folk medicine or use the practices of a native healer?
    Running Header: MODELS FOR HEALTH AND WELLNESS 3

    33. What herbal or vitamin supplements are being taken?

    34. Tell me about any activities that you are involved in for your health and well-being?

    35. Have you taken or done anything before coming to the clinic to treat the present illness?

    Professional Care/Cure Practices

    36. Where do you most often receive care when you are feeling ill or for regular checkups?

    37. What prescription drugs that you are taking. Dosage, frequency, and for what reason?
    Running Header: MODELS FOR HEALTH AND WELLNESS 4

    Work Cited

    Addressing Diversity in HealthCare (n.d.). Retrieved June 05, 2017, from


    http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/
    TableofContents/Volume82003/No1Jan2003/AddressingDiversityinHealthCare.aspxThank

    Sample Cultural Assessment Questions. (n.d.). Retrieved June 05, 2017, from
    http://www.jamardaresources.com/cersample/assessment_questions.htm

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