NURS 6512 Week 2 Peer Response 2
Angela presented an excellent discussion post that highlighted a scenario involving various factors requiring the practitioner to navigate political correctness and sensitivity. The selection of questions was commendable, particularly the inclusion of open-ended ones that allow for further exploration and elaboration. The complexity arises not from the patient herself, but from the fact that she is pregnant, which adds the responsibility of ensuring the well-being of the baby alongside the mother’s needs. Collaborative prenatal care depends on the patient’s commitment to both her own health and that of her unborn child, in partnership with the healthcare provider (Ball, Dains, Flynn, Solomon, and Stewart, 2019).
The patient being a lesbian introduces another layer of complexity to the interview process. Although it is no longer as taboo as it once was, many healthcare organisations now require LGBTQ annual competencies as part of their educational standards. Recognizing and understanding this cultural aspect is crucial in conducting an effective interview and providing appropriate treatment. As you correctly pointed out, the LGBTQ community faces significant discrimination, necessitating the practitioner’s utmost efforts to create a comfortable interview environment while respecting privacy and building trust.
NURS 6512 Week 2 Peer Response 2
Another area of concern is the patient’s strong family history of diabetes. With the rising incidence of gestational diabetes, it is important to address this issue. Wilkinson, O’Brien, McCray, and Harvey (2019) conducted a study indicating that poorly controlled gestational diabetes mellitus can lead to adverse outcomes for both the mother and infant, including an increased risk of developing type 2 diabetes mellitus. This, in turn, can result in a lifetime of healthcare costs for the patient. Therefore, close monitoring of blood glucose levels and comprehensive education should be provided, emphasizing the seriousness of uncontrolled gestational diabetes mellitus.
References
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Wilkinson, S. A., O’Brien, M., McCray, S., & Harvey, D. (2019). Implementing a best-practice model of gestational diabetes mellitus care in dietetics: a qualitative study. BMC Health Services Research, 19(1), 122.
