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Case: A YOUNG SOMALI WOMAN with apharonic infibulation comes to the Emergency Room in labor. Dr. Waver and nurse Mercedes are shaken when they see the woman's thick scar tissue and mutilation. They are taken aback with how adamant the woman and her cousin are about theappropriateness of the ritual circumcision that had been performed on Mrs. Affi when she was a girl and the necessity to reinstate the closure after childbirth. Respond to the questions below.
Questions: The extreme antagonism of the Mercedes, the nurse, did not help the situation. What could she have said or done differently?
How did you feel when the physicians had their private discussion about the patient and the nurse was not part of the discussion?
How did you respond to the discussion between the physicians, Drs. Wave and Mercedes?
What would you, as a nurse, say to them?
What are the legal issues surrounding the performance of female circumcision?
What do you think policies and procedures of your hospital should include regarding the care of a pregnant woman in labor who has had infibulation?
Consider text material covering meaning and stress AND how support services offered through Hospice might relieve some of pressure associated with caregiving.
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