While I was working as a nursing director, I was admitted to a large tertiary hospital as a patient. I was diagnosed with a double ear infection, wh

Case study:

While I was working as a nursing director, I was admitted to a large tertiary hospital as a patient. I was diagnosed with a double ear infection, which required hospitalisation for intensive intravenous (IV) antibiotic treatment and pain management. I had a cannula inserted to receive IV antibiotics in the emergency department and was administered fentanyl subcutaneously. I was prescribed Endone for pain relief. When I was admitted to the ward, I was not asked whether I identified as Aboriginal, nor was I asked about my occupation.

Four hours after being admitted to the ward, my pain began to escalate. I requested Endone from the Registered Nurse (who had not introduced himself at the beginning of his shift). He looked at my medication chart and went to get the pain relief. He returned and offered me two Panadol. I questioned him about what medication I was being offered, and he explained that these are Panadol. I stated that the doctor in the emergency department had written me up to receive Endone. The nurse replied that We dont give Endone outwilly nillyand Panadol should hold your pain. My pain soon escalated severely, and I became highly agitated. The nurse avoided me.

Shortly after this encounter, the Aboriginal hospital liaison arrived. I asked how she knew that I had been admitted, and she explained, You identified within the emergency department and the box had been ticked.

I rang a friend who worked as an anaesthetist at the hospital. In my highly distressed state, I asked him to come and see me. Simon (the anaesthetist) took my chart and read through my notes to ascertain my clinical history and the reason for my admission. He then took my chart to the nurses station and asked why I was not receiving adequate pain relief, as written up. Within a few moments, the nurse appeared and with the prescribed dose of Endone. The Registered Nurse in charge of the shift also arrived and apologised for the error. I then asked not to be looked after by my designated nurse for the rest of the shift.

Questions:

Discuss the importance of cultural safety in health care.

With reference to the case study explore the historical and systemic factors that have contributed to the marginalisation of First Nations Peoples within the healthcare system.

Marking Criteria for 9-10 marks:

Question 1) Cultural safety in healthcare: Clear and comprehensive discussion advocating for cultural safety, demonstrating a strong understanding of the importance of fostering inclusivity and actively addressing systemic barriers.

Question 2) Historical and systemic factors that contributed to the marginalisation of First Nations Peoples within the healthcare system. Link to the case study: Comprehensive and insightful explorations that synthesises the historical context and systemic issues in relation to marginalisation of First Nations Peoples specifically within the healthcare system. Describes the marginalisation of First Nations Peoples in a sensitive manner and draws clear links between this and the case study.

Requirements:

-Group assignment: Video assignment, total talk time is 2.5minutes per student. So, 45 seconds talk time for per question (make sure the answers are not too long but relate to the case study)

-Question1) requires 1 reference, peer reviewed, APA 7th edition, not less than 7 years, in text citation as well.

-Question 2) requires 2 references, peer reviewed, APA 7th edition, not less than 7 years, in text citation as well.

- Due date: 12th July 2024.