Chapter 19 cultural diversity

it is important not to stereotype pts

biases and prejudices develop when people are percieved to be different

prejudice leads to discrimination

applies to a group of people who share values and ways of thinking

provides a framework in which illness is defined

way in which people react to disease

the disease can be phys or psych in nature

illnesses can be treated traditionally or by using natural remedies

some syncromes are restricted to a group or culture

condition of baridi in tanzania=depression

the way in which a cultural view understands or explains the world and parts of the world

txtment in the us is organ specific

emic worldview-an insider or native perspective

etic worldview-an outsider perspective

is a process in which a health care provider strives to work with individuals, families, and communities

acknowledge diversity

cultureal awareness, knowledge, skills

a systematic and comprehensive examination of the cultural care values, beliefs, and practices of individuals, families, and communities

goal= gather info from pt for culturally congruent care

asking broad ?s will not be helpful for a cultural assessment

using an interpreter( it is fed mandate that these are free)

social organization (collective cultures, patrillineal)

religious and spiritual beliefs

how long have you been in the us? how old were you when you came to the us?

acculturation- is a process in which members of one cultural group adopt the beliefs and behaviors of another group

assimilation-absorbed into the dominant

autonomy vs promoting group harmony

saving face (avoids a loss of dignity) when the pt asked for a new nurse w/out any reason

aspects of nonverbal communication

as relates to food, pregnancy, pain, the newborn, the post partum period

depends on age

depends on who makes the decisions... who consents for care indiv. or whole family

leininger and macfarland advocate use of any/all of these modes

perservation & maintenance

accomodation or negotiation

repatterning or reconstructuring