Mr. Osceola a 56 year old Native American male is scheduled for a cardiac catheterization. His risk factors for heart disease are a history of non-STEMI myocardial infarction 3 years ago, former prolonged tobacco use, a diet high in saturated fat, hyperlipidemia, obesity, hypertension, and poorly controlled diabetes. He made some attempts at risk reduction, stopping smoking two years ago and losing 40 pounds. However, he currently enjoys eating red meat at least twice a day. He states he loves meat, tolerates fish, and does not like poultry. Mr. Osceola has questions about this pending heart catheterization although he had one three years ago. He was concerned about the risks of possible new percutaneous interventions, and fearful that his disease might be too advanced for any treatment. Mr. Allen is coping with his anxiety by reading chanting cultural prayers, speaking with the tribal healers, talking to his family on the phone, and asking numerous questions of the staff about the procedure. His nurse assessed him as eager and motivated to learn about the cardiac catheterization procedure, but only somewhat motivated to learn about the appropriate dietary management of his heart condition. He did ask questions about what would be healthy to eat, but when he was told what an optimal diet would be, he shook his head No, indicating that a heart healthy diet as described was unacceptable. Directions: written according to APA format. Please use appropriate headings to organize and present your case study. Review the case study. 1. Introduction What are the risk factors and cultural implications for improving health practices for Mr. Osceola? Using evidence-based research discuss the role culture plays in patient education. 2. Discuss at least three high-priority learning needs (as evidenced by need for behavioral changes, not a knowledge deficit) for Mr. Osceola. Support discussion with current literature 3. Although the nurse who assessed Mr. Osceola felt he was motivated to learn about the procedure, as a clinical nurse educator how would you help the staff nurse address this patients educational needs? 4. Using the four indicators of physical, emotional, experiential and knowledge readiness, contrast Mr. Osceolas readiness to learn about the imminent procedure with his readiness to learn about healthy dietary changes. 5. What information learned from this case study do you feel will help you in your nurse educator practice?
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