Rheumatic Heart Disease (RHD) is a condition related to strep throat. A group ‘A’ bacteria known as Streptococcus causes this condition. The bacterium causes throat infection and if not detected and treated early, it can cause permanent damage to the heart leading to stroke or even death. In cases where a child experiences recurring or untreated throat infections, it can cause rheumatic fever. RHD is caused by overcrowding, poor sanitation, and air pollutions just to mention a few. Therefore, Shakira might have contracted the condition from this kind of environment. Other than the environment, the environment can also be inherited. In this case, Shakira might have inherited this kind of gene from her father or mother. Early diagnosis and treatment are essential (O’Sullivan, 2013). In Shakira’s case, she needs a daily dose of antibiotics until she is 25 years of age to prevent recurrence of the condition and to prevent the development of heart infections and other bacterial endocarditis.
(a) Cultural Awareness
Cultural safety in health care delivery involves placing substantial consideration to cultural sensitivity and cultural awareness to all the patients (Nursing council of New Zealand, 2012). In this case, practicing nurses are expected to provide quality and safe health care by considering the issue of cultural diversity; this can be achieved by recognizing and respecting cultural diversities. Further, enrolled nurses should respect the rights of individuals from other cultures in order to meet their needs and expectations (Faculty of Health, 2013)
(b) Cultural Sensitivity
According to the American Council of Gynecologists and Obstetricians, cultural sensitivity is the code of conduct whereby a practicing nurse has the knowledge and interpersonal skills that enable them to understand, appreciate and work with individuals from a culture different from their own. A good example of cultural sensitivity is the Amish couple who come from a minority group in America who do not consider enrolling for any kind of medical insurance because of their culture. After the couple went through a cesarean, is when a nurse advised them to enroll in Medicaid. In such a case, the nurse was culturally sensitive; this enabled her to recognize that the couple was not using the government aid. Therefore, by helping the couple enroll in Medicaid, the nurse will be in a position to reach the community (McGough, Wynaden & Wright, 2017).