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Analyze ways in which culture impacts healthcare. Specifically, how might sociocultural factors influence care for a patient? Use an example from your chosen patient case. put into short paragraph with reference Samantha Samantha Polaski is a 14-year-old Caucasian female who lives at home with her mother, Lauren, and her father, David. Episode Lauren rushed her daughter to the hospital after finding her unresponsive in her bedroom one afternoon. Samantha was stabilized in the emergency room through IV fluids and monitored further. Samantha denied taking any drugs or alcohol and reported she had been feeling “lightheaded” and “nervous” lately. After lab tests and physical examination ruled out an obvious medical cause, the ER doctor ordered a psychiatric consult. The psychiatrist recommended admission to the hospital’s behavioral health unit. Samantha was transferred there and began treatment with an interdisciplinary team of Dr. Turner, a psychiatrist; Tayo, a nurse; and a social worker. Signs of Anxiety Samantha reported a recent history of anxiety and depression, centering around the demands of school and her social life with peers. She said she had many friends in junior high but that since starting high school, those friends seemed to fall away. Samantha did not participate in sports or extracurricular activities, though she admits running on her own. In fact, she said recently she had increased her daily jogs to multiple miles to try to address the elevated anxiety she was feeling. She stated that running was “the only time I feel like me.” Samantha reported one prior episode in which she temporarily lost consciousness. It was during her first midterm exam in high school. She felt her heart quickly begin to race and pound loudly in her ears, and she had trouble getting air. She fainted but was able to recover quickly in the school’s health office. She reported that her peers now “stare at me” due to this incident. Vaccine As part of Samantha’s stay at the hospital, nurse Tayo mentioned administering the COVID-19 vaccine if she and the parents would like. During the conversation with the nurse, Samantha became tearful and related how her father was against the vaccine, fearing side effects. The night prior to Samantha’s arrival at the hospital, in fact, her father had argued with her mother that cases for minors were mild and that Samantha did not need a vaccine right away. He felt that the risks were unknown, and he wanted to wait until more children were vaccinated. Samantha reported overhearing the conversation, and while she initially wanted to get vaccinated, her father’s comments left her frightened. So much talk about the vaccine had left her feeling very anxious, and she could not sleep at all. This lack of sleep led to increased anxiety on the day of the episode. Due to Samantha’s worry surrounding the vaccine, nurse Tayo and the team decided not to continue offering vaccination and to allow the family to work through the topic on their own after discharge. Care and Discharge Planning After 2 days, the social worker discussed with the parents that Samantha was ready to be discharged to outpatient care. David expressed that he did not want Samantha to receive any treatment whatsoever and certainly didn’t believe she belonged in inpatient care, whereas Lauren did not think Samantha was ready for discharge yet. “She’s safe here,” Lauren stated. “Maybe she needs psychiatric care, David. I don’t want to find her like that again.” When asked what she wanted, Samantha said, “I’m just so … tired. I want to sleep.”

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