An immigrant from China requires a colonic resection. He follows traditional Chinese health practices and is very anxious and reluctant regarding Western surgery. Which comment would most likely help reduce the patient's anxiety and reluctance?

a. "Surgery will help rebalance the yin and yang forces and return you to harmony.".
b. "If you would like, we could use acupuncture for anesthesia or pain control.".
c. "I know this is new to you, but you can trust us to take very good care of you.".
d. "The surgery we are recommending will help you achieve final transformation.".


B
Although in traditional Chinese medicine (TCM), the goal of healing is to be in harmony with one's environment and all of creation in mind, body, and spirit, and although TCM stresses a balance of yin and yang energies and being in a state of transition, it would not be helpful to suggest that surgery will balance the yin and the yang, since this is not how balance is achieved in TCM. However, it would be helpful to incorporate elements of TCM as appropriate, such as acupuncture for pain control. Transformation is recognized as a stage of healing occurring when mutual, creative, active participation occurs between healers and the patient toward changes in the mind, body, and spirit; but "final transformation" could imply the end of corporeal life and might be perceived as hastening his demise. Appealing to him to trust persons whose practices are so foreign to him would not likely be effective.

Nursing

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