Perception of Culture

Ms Susie Jones, a 37 year-old-black American client who has been coming to the hospital’s out-patient clinic because she has brittle diabetes. Ms. Jones’s diabetes was diagnosed 6 months previously; however, the diabetes remains uncontrolled by insulin. The client was placed on a regimen of 40 units of lente insulin with 5 units of regular insulin at 7:00 AM and 4:00 PM. When Ms. Jones comes to the clinic today, she has an episode of “blacking out,” or an insulin reaction because she forgot to eat after taking her morning insulin. This morning, as frequently in the past, Ms. Jones is at least one hour late for her scheduled appointment. The following 5 questions relate to variable time and its significance in relation to Susie Jones.

Discuss at least two things in relation to the perception of time and culture that may be contributing factors in Susie Jones tardiness for appointments.
Articulate at least two things the nurse could suggest to Susie Jones that would assist her in being on time for future clinic appointments.
Describe two factors about time that contributes to Susie Jones’s nonadherence to the medical regimen.
Identify ways the nurse could assist Susie Jones in developing an understanding about time and its relationship to important mediations such as insulin.
Discuss a contributing factor to insulin reaction that was described to the nurse by Susie Jones.

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