Who should a nurse inform first about a terminal diagnosis for a Filipino American patient?

In the context of transcultural nursing, particularly when caring for Filipino American patients, it is essential to recognize the cultural values surrounding family involvement in medical decision-making. In Filipino culture, family is of utmost importance, and decisions, especially regarding serious matters such as a terminal diagnosis, often involve the family rather than just the patient alone.

By informing the family first, the nurse aligns with this cultural norm, ensuring that the patient’s family members, who may take on a significant role in providing emotional support and making decisions on behalf of the patient, are included in the process. It also allows the family to prepare emotionally and to engage in discussions regarding the patient’s wishes, care plans, and final arrangements.

Furthermore, this approach fosters a collaborative environment that respects the values and beliefs of the Filipino American culture, promoting trust and open communication between the healthcare providers and the family. This can ultimately lead to better patient care and more culturally congruent nursing practices.