A nurse working in an ambulatory care center is caring for a patient who requires dressing changes every other day. The family caregiver indicates that the patient does not value adhering to a time schedule. What is the most appropriate action?
A. Continue to schedule the appointments.
B. Ask the patient to call the ambulatory care center to cancel appointments.
C. Call every other day to remind the patient of the scheduled appoint.
D. Explain to the patient and family members the importance of wound dressing changes and explore anticipated barriers to time adherence.
D
Present time orientation is in conflict with the dominant organizational norm in health care emphasizing punctuality and adherence to appointments. Nurses should expect conflicts and make adjustments when dealing with other ethnic groups. Improving the accessibility of health services so time schedules accommodate cultural patterns may assist patients with making appointments and referrals.
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