HLT54115 Diploma of NursingHLT54115: Diploma of NursingCHCDIV002: Promote Aboriginal and/or Torres Strait Islander cultural safety.Assessment 1. Clinical Reasoning Scenario – Guidelines. PROFESSIONAL FORMAT OF SCENARIO:A. Conduct research from at least 5 references. Provide references in the body of theassignment (in-text) and provide an end reference list using APA guidelines (Do NOT use‘Wikipedia’ or Teacher’s notes as sources).B. Provide a correctly set out academic format for this case study including:Single sided pages; Headings; Arial font size 12; Paragraphs; 1.5 Line Spacing.Spelling; Punctuation; Grammar consistent with academic writingC. Introduction and conclusion are NOT needed for this case study.D. Write approximately 800 words (or within 10%) in total.E. DUE DATES: TBAF. Submit your assignment into the submission folder in Moodle.G. You are required to put your work through Turn-it-in on Moodle and the similarity mustbe below 30%. Cultural safety is defined as “Behaviours, attitudes and policies that enable systems, organisations,professions and individuals to work effectively in cross-cultural situations” (National Health andMedical Research Council, 2006). When recipients of care believe that the care meets their culturalneeds, then the care can be considered to be culturally safe.SCENARIO:Shakira is a 7-year-old girl living in a remote Indigenous community in the Northern Territory. She has2 brothers and 2 sisters between the ages of 3 to 12 years. She is now cared for by different familymembers in communities scattered over a large area of the NT as her family frequently travels. Hermother Jasmine is 27 years old and has recently lost custody of her children as she was frequentlyfound to be drinking in town and not caring for or feeding her children. Her father cannot be located.Shakira was diagnosed 2 years ago with Rheumatic Heart Disease and is required to have injectionsevery 3 weeks for at least 10 years as well as follow up cardiac tests. These tests includeEchocardiography which can only be done in city hospitals. Shakira started her life underweight atbirth and has suffered many middle ear infections leading to decreased hearing which has affectedher speech.Shakira frequently misses school but when she does attend she is fed breakfast to start her day asoften food is scarce within the family. She is still underweight for her age.HLT54115 Diploma of NursingResearch and then provide the following information about Shakira:Q1. Briefly discuss Rheumatic Heart Disease and the cause, including factors that may have led toShakira contracting the disease.• Identify and explain two social determinants of health that may have made Shakira moresusceptible to the disease.• Explain how one of these determinants may have affected Shakira’s families decision-makingaround her care.• Include the standard treatment required •Include relevant Indigenous statistics for RHD compared to the mainstream population.(150 words) Q2. Explain how you will provide culturally safe care as an Enrolled Nurse by defining and givingone example of the following terms:(a) Cultural awareness(b) Cultural sensitivity(100 words)Q3. By acknowledging the impact of events and issues throughout the history of Australian andTorres Strait lslander people it helps the Enrolled Nurse gain insight into the current physical, mental,social, economic and political situations affecting Australian and Torres Strait lslander people andtheir engagement with community services and health systems.3.1 Research via the link: https://www.legislation.gov.au/Details/C2012C00258In your own words briefly explain the objectives of The Aboriginal and Torres Strait Islander Act2005.(50 words)3.2 Considering the health generally of Aboriginal and/or Torres Strait Islander people provide anexplanation in your own words of the significance of one the following and briefly explain howthey may be affecting the day to day health and wellbeing of these people.(a) The impact of European settlement/Colonisation(b) Loss of land and culture(c) Kinship/skin system(d) Mabo case/ Terra Nullius(e) Forced removal of children (‘Stolen Generations’)(100 words)HLT54115 Diploma of NursingQ4. Successfully working in partnership with Australian and Torres Strait lslander people requireseffective communication. Gaining their full participation by consulting with them and involving theindividual and at times the community in their health care decisions is essential to providingculturally safe nursing care.Select one of the following strategies and discuss how this strategy can assist the Enrolled Nurse toimprove communication and build a rapport to provide culturally safe care.Consultation with community representatives(a) Community participation in decision making(b) Health clinics built in such a way that male and female areas are separate and have separateentrances. Both male and female health professionals are present.(c) Kinship(100 words)Q5. Considering Shakira, briefly discuss two ways that an Enrolled Nurse could ensure effectivecommunication when consulting with her and her family.(100 words)Q6. A culturally safe organisation consults with Indigenous Australian community leaders andworkers. Health services should develop culturally appropriate policies and procedures that providedirection for workers dealing with Indigenous Australian individuals.Choose one of the strategies below and briefly explain how this would ensure that Shakira and herfamily would feel comfortable accessing the service.(a) Employing culturally and linguistically diverse staff throughout the health organisation.(b) Choose one accessible resource related to a Shakira’s health issues that if available tohealth employees would assist.(c) Displaying Aboriginal or Torres Strait Islander art and posters that are clearly visible fromthe entrance to the building.(50 words)Q7. By regularly reflecting on situations you encounter in your work practice you will develop yourown cultural safety practices.How well do you integrate cultural safety into your practice as a student Enrolled Nurse? Brieflydiscuss one of the following questions.(a) Do you understand how Indigenous Australian culture and history shapes IndigenousAustralian people’s interaction with non-Indigenous society?(b) Do you show you are prepared to re-shape your own values and perceptions toaccommodate the needs of Indigenous Australian individuals and co-workers?(100 words)HLT54115 Diploma of NursingQ8. To evaluate the extent to which cultural safety is integrated in your own work and in yourworkplace it is a good idea to put yourself in the shoes of an Aboriginal or Torres Strait Islanderindividual.(a) List two questions an Aboriginal or Torres Strait Islander may ask themselves whenconsidering if they will access the health service.(b) List two indicators of a culturally unsafe service.(50 words)(Total of 800 words or within 10% more or less).
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