Often patients socioeconomic, spiritual, and lifestyle affects their acceptance to medical diagnosis and treatment plan. But most challenges are seen in individuals with low health literacy, as a result, most chronic illnesses are not treated well because they discontinue their medication in the absence of any signs and symptoms, or refused to take the medications as prescribed. Shaw et al., (2009). Documented that “health literacy, the ability to understand and act on a physician’s instructions, is related to morbidity and mortality from a variety of conditions” (pg. 460). Effective communication and education in the patient’s original language might help to resolve the problem and should …show more content…
Although she gets great prenatal care and vitals are stable, she has been having vaginal discharge with amine odor. In addition, a strong family history of diabetes was presented to the obstetrician. The prenatal care from the obstetrician is recommended due to the high risk pregnancy. The prenatal vitamins contain essential vitamins needed during pregnancy and Tylenol over the counter medication PRN. Patient’s advice should include strictly adhering to the dose instructed on the Tylenol to prevent liver damage. Since patient is at high risk for developing gestational diabetes, her hemoglobin A1C needs to checked and referred to a nutritionist if need be. The vaginal discharge should be treated to prevent miscarriage/preterm labor or pelvic inflammatory disease. However, the patient’s spiritual life wasn’t mentioned, but her socioeconomic and lifestyle indicate that she is literate enough towards achieving a healthy pregnancy and will be able to follow the obstetricians order accordingly.
Explanation of sensitive issues
Avoiding been judgmental, prejudices and stereotypes is recommended, because of the differences in the social class. Implementing non-conscious biases, when communicating or providing care to any particular social group might be sensitive to the patient and it should be avoided (Ball et al., 2015). The following questions should be avoided, such as, her partner’s feelings about the pregnancy, if they will take turns having babies, who is the father of the baby to mention but a few.