Case Study When we first meet P.K.,

Case Study When we first meet P.K., the mother in this case, she was 19 years old and had recently emigrated from Gambia to marry a 37-year-old Gambian man who had already been in the US for many years. After the couple’s first child, a male, was born with multiple congenital anomalies consistent with Bartsocas-Papas syndrome, a rare, autosomal recessively inherited multiple malformation syndrome, P.K.. had great difficulty understanding the situation in which she found herself. First, she spoke only her native language, making it difficult to communicate with individuals outside her community. Early in the course of her care, her husband, who spoke some English, served as the translator for her, but it became clear that he was telling his wife that her behavior and diet had been the cause of their son’s condition (although the truth was that both parents carried a mutation that led them to have an affected fetus). When the physicians and social workers became aware of this, they required that a Gambian-speaking translator be present at all counseling sessions. However, even with the translator accurately translating the physicians’ explanations, the fact remained that, in the context of the couples’ relationship, the “blame” was placed squarely on the mother. P.K., who desperately wanted a child, became pregnant again, but this time sought care at Hospital B. Here, she stated that the genetics team at Hospital A had repeatedly given her bad news, so she had changed hospitals in hopes of a “fresh start.” Because of the rarity of the condition, as soon as the genetics team at Hospital B took her history, they immediately contacted the geneticists at Hospital A (ultimately, the same Genetics Consult Service) in order to get more information. Unfortunately, once again, the fetus was affected and P.K. chose to terminate the pregnancy. The previous counseling sessions happened before you joined the team. Now that you are a member of the team, you have been asked to use your expertise in culturally competent care to assess, diagnose, and plan the next interaction with the patients. https://www.txhealthsteps.com/appLms/index.php?modname=organization&op=organization&id_module_sel=25 Use the link to answer questions 2&3. Clink link and navigate to lessons. Thank you. Questions 1. What cultural and linguistic issues do you see that can affect the clinical outcomes of this couple? Discuss at least 3. 2. Discuss and explain 3 strategies that you would use to take the couple through an understanding of their perspective and the clinical facts? 3. Discuss and explain 2 strategies that you would use to ensure that the couple understands the clinical information being presented? 4. After counseling, the mother tells you that she will terminate the pregnancy. What would you do, as a registered nurse and patient advocate? Give reasons for your answer. SCIENCE HEALTH SCIENCE NURSING NURS 3606

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