Ethical consideration is important in nursing practice, especially when providing care to patients from diverse sociocultural backgrounds. The document discusses caring for a Hispanic patient with type 2 diabetes who had different cultural beliefs about the causes and treatment of diabetes. These included beliefs that diabetes is temporary, not identifying some types as severe, and viewing their health condition as punishment from God. Considering a patient's sociocultural background and beliefs is important for providing culturally competent, holistic care.

1. Ethical consideration is important in nursing practice
Ethical consideration is important in nursing practiceEthical consideration is important in
nursing practiceEthical consideration is important in nursing practice, especially when
providing care to patients from diverse sociocultural backgrounds. The population of the
United States comprises various ethnic/racial groups with different cultural and social
beliefs, practice, norms, and values. There is an increasing disparities on the incidence and
prevalence of type 2 diabetes among different communities in the United States. According
to the Center for Disease Control and Prevention (CDC), Hispanics and African Americans
have the highest incidence and prevalence of type 2 diabetes in the country (Concha, Mayer,
Mezuk, & Avula, 2016). Caring for patients from different ethnic/racial groups require
consideration of ethical principles and concepts to prevent ethical issues that may arise
during nurse-patient interaction. Recently, I cared for patient with type 2 diabetes mellitus
who had been hospitalized for more than two weeks due to acute hypertension, partial loss
of vision. Also, the patient had a chronic diabetic foot ulcer. The analysis of his medical
history revealed that the diabetic foot ulcer had developed in the last two years and had
never healed. The patient was so worried about his health status and kept asking when he
was going to be discharged from the hospital. The patient came from the Hispanic
community, which is one of minority groups with the highest incidence and prevalence of
type 2 diabetes mellitus in the country. Being a culturally competent registered nurse, I had
an obligation to take into account the specific ethnic background of the patient when
providing care. Considering patient’s ethnic/racial background is important in providing
quality, holistic, and patient-centered care based their health concerns, preferences, and
values (Concha et al., 2016).ORDER NOW FOR ORIGINAL, PLAGIARISM-FREE PAPERSWhen
collecting subjective data for analysis and planning for the care. I asked the patient about
his perceptions about the possible causes of type 2 diabetes that he was suffering from.
Hispanics have different beliefs in the causation of diabetes mellitus (Frieden, 2016). First,
the patient believed that diabetes is a temporary condition that is not fatal. Second, the
patient narrated a story that attempts to identify the cause of diabetes and concluded that
they believe that people with “good diabetes” do not experience a lot of complications. The
Hispanics use the term “good diabetes” when referring to the type of diabetes that do not
require insulin for therapeutic purposes; non-insulin-dependent diabetes mellitus (T2DM)
(Frieden, 2016). Also, the patient had a fatalistic attitude and believed that his health
condition is likely to be a punishment from God. The patient had a low health literacy level
because caregivers had encouraged him to engage in some physical exercise and adopt a

2. self-management approach as a way of controlling and preventing complications related to
his condition, but he never implemented them. Also, the patient had failed to comply with
routine checkups scheduled by the caregivers; therefore, resulting to escalation of his
medical condition. Home remedies is an important care approach because it promotes
cultural competence. These remedies ensure that the patient able to effectively adjust to the
self-management measures suggested for controlling the complications or comorbidities
related with diabetes mellitus.Reply 2The last person I took care of was an 82-year-old
woman who had suffered a stroke. However, she was able to get a thrombectomy and she
was left with little to no deficits. She was alert, oriented, and independent. Thus, she was
very aware of the cause of her health condition, and why it caused her symptoms. However,
I would say her health literacy was low because she has a history of noncompliance with the
meds that could have prevented her stroke.Health and social wellbeing are determined by
many factors outside the health system which include socioeconomic conditions, patterns of
consumption associated with food and communication, demographic patterns, learning
environments, family patterns, the cultural and social fabric of societies; socio-political and
economic changes, including commercialization and trade and global environmental change
( Kumar & Preetha, 2012). These social determinants prove that these many factors
combine together to affect the health of individuals and communities. Whether people are
healthy or not, is determined by their circumstances and environment. Factors such as
where we live, the state of our environment, genetics, our income, and education level and
our relationships with friends and family all have considerable impacts on health, whereas
the more commonly considered factors such as access and use of health care services often
have less of an impact (World Health Organization (WHO), n.d).“Determining which
identities are most salient to the person’s health needs to be performed in partnership with
the patient and/or family. These identities can fall anywhere along a continuum of
privilege–disadvantage that is grounded in a social justice perspective” ( Lor et al., 2016).
On the Continuum of Privilege–Disadvantage, her privileges are: congruent gender,
heterosexual, white, historically privileged, able body and mind, high education, proficiency
in English, and Christian. Her disadvantages are: elderly, female, low health literacy, low
income (Lor et al., 2016). While she has a lot of advantages, she has two major
disadvantages: elderly and low income. “Assessment of individual and family needs relative
to privilege–disadvantage facilitates tailored interventions and socially just care that can
promote health equity, [and]Nurses need to assess the impact of these interesting identities
to optimize the quality of care ( Lor et al., 2016).Culture is integral to the person as a unique
individual. It impacts greatly on the client’s health, and their reactions to treatments and
care (Registered Nursing, 2020). However, my patient did not have any specific cultural
beliefs, perspectives, values, and practices that she wanted to be implemented in her care.
Thus, my approach to care for her (and all my other patients), is to listen to them and care
for them as best as I can. You should respond to at least two of your peers by extending,
refuting/correcting, or adding additional nuance to their posts.Your reply posts are worth 2
points (1 point per response.) All replies must be constructive and use literature where
possible. .Ethical consideration is important in nursing practice