What are the methods a nurse can use to gather cultural information from patients? How does cultural competence relate to better patient care? Discuss the ways in which a nurse demonstrates cultural competency in nursing practice. 

Case Study, Chapter 2, Community-Based Nursing Practice

1. Mr. Jones, who is 74 years of age, is being discharged home after having a right knee replacement. The discharge orders from the orthopedic surgeon include: continuous passive motion (CPM) at the current setting of 0-degrees extension worn when walking with crutches (nonweight-bearing postdischarge day 1, and may begin weight-bearing postdischarge day 2); and home nurse visits, as needed. Physical therapy should begin the day after discharge at an orthopedic center. The orders will be faxed to the center. The following medications with prescriptions attached include: Lovenox (enoxaparin) 70 mg subcutaneously once daily for 7 days, Vicodin (hydrocodone bitartrate) 10 mg every 4 hours PRN, and Colace (docusate sodium) 100 mg every day. The patient is to follow up with the orthopedic surgeon in 3 weeks. His daughter plans to stay with him for several weeks to assist him with meals and household chores, and take him to physical therapy and the orthopedic surgeon for follow-up. Mr. Jones has three other children who live in other states. He is a widower and attends a local church. (Learning Objective 4)

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  1. What preparations should the nurse make in advance before attaining necessary community resources and referrals before the patient is discharged? 
  2. What necessary community resources and referrals will the patient need?

2. Mrs. Johnson, a 67-year-old female patient, has recently been discharged from the hospital following an admission for COPD. She has a past medical history of a colon resection related to acute diverticulitis. She developed a surgical wound infection that requires daily wet to dry wound packing and IV Zosyn. Mrs. Johnson was discharged with home oxygen. To manage her care at home, home care visits were ordered. (Learning Objective 5)

  1. What would be involved in setting up the first home care visit?
  2. Describe the nursing assessments and management that would occur during the visit.

Answer the following question in 250-350 words. No formal formatting required.

 Technology has afforded many improvements in the healthcare industry, primarily in the access to data and information, also known as or data sharing. At the same time, the industry is confronted with the important issue of protecting patient privacy. Big Data can raise a lot of questions regarding privacy and security; as well as ethical standards. Discuss the types of activities you would implement to ensure the proper use of data, particularly with the concerns of Big Data. What safeguards would you recommend for users of the data, for collection and retrieval purposes?