Discussion Questions on Diploma of Nursing

Running head: DIPLOMA OF NURSING 1
Discussion Questions
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DIPLOMA OF NURSING 2
Q1. a. Rheumatic Heart Disease (RHD) is a heart disease resulting from damage of
valves by recurrence of acute rheumatic fever (ARF). AFF causes inflammation of the valves
narrowing them thereby interrupting with their function.
b. Poor housing and sanitation may have increased Shakira’s susceptibility to RDH.
RDH is associated with streptococcus infection which is prevalent in overcrowded and poor
living standards such as dirty and communal toilets and poor disposal of rubbish. Another risk
factor is inadequate access to medical care. It is possible that Shakira failed to access early
diagnosis and treatment of the disease. Early medication is important for prevention of chronic
diseases such as RDH.
c. These factors limited Shakira’s family’s decision making in that stress, frustration and
stigma due to low standards of living affected their personal judgment and therefore couldn’t
afford to provide quality medical care that Shakira deserved.
d. Providing antibiotics such as penicillin v or any equivalent antibiotic will help in
treating the streptococcus infection. Also, aspirin are needed in large doses in treatment
inflammation. This is administered until joint inflammation subsides. Corticosteroids may also
be used in treatment of inflammation, though rarely. The medication should be administered for
10 years or until the age of 40 after disappearance of acute illness in order to prevent recurrence
of the disease.
e. According to research, indigenous population living in remote areas is more
susceptible to RHD compared to mainstream population. The cases for RHD among indigenous
population were reported to be 350 in 2002 to 2006. 15.1 more males and 23.0 more indigenous
females than non –indigenous were likely to die of RHD (Hickie Megan, 2011).

DIPLOMA OF NURSING 3
Q2. Cultural awareness is developing consciousness to clients’ differences and
similarities in values, norms, beliefs and other ways of life by nurses. For instance, nurses should
be aware of different approaches preferred by the clients in receiving health services. Clients
have diverse culture which cannot be assumed while providing health care and nurses should
therefore recognize them and how they influence provision of health care for improved health
services. On the other hand, Cultural sensitivity is the respect, comfort and appreciation that
nurses give to the clients’ diverse cultures. For instance, the nurse respects to the fact that clients’
culture is dominant over their own cultures. Respecting the different cultures of the clients
establish a mutual understanding that is necessary for establishment of good relationships
(Downing; Rosie; Emma, Kowal; Yin, Paradies, 2011).
Q3. 3.1The Aboriginal and Torres Strait Islander Act 2005 was amended in order to
establish self-sufficiency and self- government to the Aboriginal and Torres Strait people in
Australia. The Act also aimed at restoring the culture and improving economic development of
the indigenous population. Nevertheless, the Act was established to restore land ownerships by
the indigenous people. The Act constituted of Authorities and Corporations programs that
supported restoration of justice and recognition of Aboriginal and Torres Strait population in
Australia.
3.2 European settlement in Australia led to removal and destruction of Aboriginal and
Torres Strait Islander population. Also, it led to disparities in health care systems where the
Indigenous populations were discriminated based on racism ethnicity and social class in services
delivery. Also, they were denied the rights to own their land which was stepped up by Terra
Nullius. However, Mabo case of 1992 led to dramatic changes in favor of the population. The
court gave a ruling that provided the indigenous population with the rights to restore their land