. Questions: The nurse-manager reviews the documentation related to the seclusion episode. What action should she take to prevent this situation from re-occurring? Discuss the information in this case study related to application of Giger and Davidhizars Transcultural Assessment Model and the implications for nursing related to formulating a plan of care for this client. Case Study A Vietnamese girl in her first year at an American elementary school, was not feeling well one morning, so her mother rubbed the back of her neck with a coin. When the girls teacher discovered the welts on the girls neck, he immediately assumed they were seeing a case of child abuse and reported it to the principal and school nurse. The nurse commented that the behavior of the mother could possibly be related to a cultural practice. The teacher insisted that this information be reported to the authorities immediately. The principal advised the nurse to call the authorities. Questions: What immediate action should the school nurse take related to this situation? What responsibility does she have related to promoting cultural competence? In each case the client was practicing a traditional form of healing known as coin rubbing. There are several variations, including heating the coin, but they all involve vigorously rubbing the body with a coin. This produces red welts, which can distract medical staff from the real problem or be mistaken for child abuse. It is important to recognize and become familiar with this practice, and not to be distracted from the real problem or mistakenly make accusations of child abuse. Asians rubbing their children with coins is not any more abuse than Americans having thin pieces of metal wrapped around their children’s teeth and tightened until their teeth move out of place. Braces are usually applied for merely aesthetic reasons. Coin rubbing, at least, is an attempt to heal. Apparently, it often works, only the failures show up in the medical system. References: Galanti, G. A. (1991). Caring for patients from different cultures. University of Pennsylvania Press. Spector, R. E. (1979). Cultural diversity in health and illness. Appleton-Century-Crofts. Due 11/27/21Show more
