Nursing Interventions When caring for patients with different cultural backgrounds, nursing theorist Madeline Leininger suggests three main modalities: preservation or maintenance of cultural care, accommodation or negotiation, and reorganization or restructuring, to help nurses to provide culturally competent care ( Sagar, 2012). In the hypothetical situation in which I was caring for Ginny as a patient in an intensive care setting, I would incorporate nursing interventions, or care modalities, unique to her cultural needs into the care plan. I would first use cultural adaptation to assess anxiety and emotional distress through subtle changes in body language and affect, rather than relying on facial expression and verbal expressions of emotional change. I would need to use Leininger's mode of accommodation as it is rare for individuals from Ginny's culture to express emotions or feelings of distress to others. Second, if Ginny were diabetic or showed signs of pre-diabetes, I would use cultural adaptation to explore Chinese culture. foods low in simple carbohydrates to help maintain tight glycemic control. As discussed in the interview, rice is a staple food for Chinese-Americans. Rice is also high in simple carbohydrates and is not a recommended food for diabetics. Leininger's accommodation mode could be used in this case to help Ginny find culturally appropriate substitutes for rice, such as tofu or lentils, and create a diabetic-friendly diet to which she is likely to stick. Cultural accommodation is used in this case to modify a generic diabetic diet into a culturally relevant diet that the patient is likely to adhere to. Accommodation is appropriate as not all Chinese cultural foods are contraindicated...... middle of paper ......ot.ca/otnow/March05/OTNowMarch05_Interpreter.pdfLiao, JK, (2007). Safety and efficacy of statins in Asians. American Journal of Cardiology, 99(3), 410-414. doi: 10.1016/j.amjcard.2006.08.051Lowdermilk, D. L., Perry, S., Cashion, K., & Alden, K. R. (2012). Maternity and women's health care (10th ed.). St. Louis, MO: Mosby.Purnell, L. (2005). The Purnell model for cultural competence. Journal of Multicultural Nursing and Health, 11(2), 7-15.Sagar, P. (2012). Madeline Leininger's theory of culture attends to diversity and universality. Transcultural nursing theory and models: Application in nursing education, practice, and administration (pp. 1-12). New York, NY: Springer Publishing Company. Swagerty, D. L., Walling, A. D., & Klein, R. M. (2002). Lactose intolerance. American Family Physician, 65(9), 1845-1850. Retrieved from http://europepmc.org/abstract/MED/12018807