Nursing Clinical Rounds: Providing Holistic Care for Immigrant Patient

Nursing Clinical Rounds: Providing Holistic Care for Immigrant Patients

Introduction

Nurses are more than caregivers—they are educators, advocates, communicators, and collaborators. In providing basic care and comfort, nurses apply a holistic lens to assess, prioritize, and respond to patient needs. Whether addressing the comfort of a chronically ill patient, communicating with a client from a different cultural background, or planning a thorough health assessment, nurses must integrate clinical knowledge with critical thinking, cultural competence, and therapeutic communication skills.

This week’s discussion is an opportunity to reflect on how foundational nursing practices like assessment, communication, and culturally respectful care support holistic healing and patient-centered outcomes.

Case Scenario: A Complex Admission

Mr. Phouvong Chanthavong, a 61-year-old recent Laotian immigrant, is admitted to the hospital with pneumonia and newly diagnosed type 2 diabetes. He speaks little English. His daughters are bilingual and often translate for him. Mr. Chanthavong appears disoriented during your shift, frequently declines hospital meals, and shows signs of dehydration and fatigue. His chart shows a temperature of 100.8°F, glucose level of 248 mg/dL, and mild pedal edema. His weight is down 4 lbs from last week. He seems reluctant to ask questions and frequently looks to his daughters for answers.

Discussion Prompt

Choose ONE of the following categories and respond thoroughly:

1. Holistic Assessment and Prioritization

• Identify which components of the health assessment (physical, psychosocial, cultural) are most important in this case.
• How would you prioritize Mr. Chanthavong’s needs using the nursing process?
• What basic care and comfort needs should be addressed immediately?

2. Culturally Competent Communication

• How can you demonstrate therapeutic communication techniques that also respect Mr. Chanthavong’s cultural beliefs (Dudek Ch. 11, Taylor Ch. 5)?
• What role does family involvement play in assessment and decision-making?
• Give examples of nontherapeutic communication to avoid.

3. Promoting Health Despite Chronic Illness

• How can Mr. Chanthavong be supported to achieve a sense of health even with chronic illness (diabetes and pneumonia)?
• What teaching strategies could address his nutritional needs and cultural preferences (Taylor Ch. 9)?
• How would you evaluate the effectiveness of nursing interventions related to comfort, hydration, and communication?

Resources

Holistic care and complex needs: unveiling the full potential of modern nursing – PMC

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