A Home Visit That I

In rural Iowa, there are few individuals who are knowledgeable of the Hispanic culture due to the small number of Hispanic individuals that have sought out care in the past. Recently, there has been an influx the number of Hispanic Americans seeking care in this area, making the delivery of culturally sensitive communication and care an important topic. According to DeNisco & Barker (2016), the nature of nursing care encompasses the need to be aware of cultural diversity (p. 581). Meaning that nurses need to strive for cultural competence to reach the societies expectations in the delivery of nursing care (DeNisco & Barker, 2016). We are going to take a look at how nurses can make a few changes that will make providing culturally competent care to the Hispanic population easier in these settings.

Due to a clinicians’ lack of understanding of Hispanic culture, feelings of alienation can result from the patient. Family and social structures are different in Hispanic culture, whereas “professional help may not be sought due to Hispanics considering substance abuse a family problem” (Reif, Horgan & Ritter, 2008). In Hispanic culture it is perceived that family issues remain in the family, thus outside help is frowned upon. When treating clients from this population, clinicians need to include the whole family in the treatment plan and to respect family

These religious and spiritual influences play a major role in the Hispanics health, illness and daily life. In much a similar manner, the Native American Indian family adopts the cultural beliefs to associate with illness and health. They believe that a person’s state of exists when he or she exists in harmony with nature and sickness occurs when an imbalance between the natural or supernatural forces and the sick individual exists (Askim-Lovseth & Aldana, 2010). Traditional health believes and practices involving healing ceremonies and rituals restore balance when illness happens. “These can be conducted by their traditional medicine men or women, who are thought to have compelling powers, the ability to read minds, and know-how in concocting medicine, drugs and poisons.” For the white young family, the cultural belief of invincibility and youth are the driving force behind health prevention (Askim-Lovseth & Aldana, 2010). “Focus on the temporary is regularised, while thinking about health is assigned to an adult person where family accountabilities pertain.” Protecting against illness or disease does not feature into their daily lives. Disease or illness is something that is insubstantial and distant, and unimaginable to their young, resilient bodies and thus irrelevant (Edelman & Mandle, 2010).

Hispanics are the largest and fastest growing ethnic minority group, estimated to be 54 million living in the United States of America. (Office of Minority Health and Health Equity). They work very hard to make both ends meet and also to stay in good health. They are relatively as a source of cheap labor in the American labor market This paper will dwell more on the Hispanic current Health status, how health promotion is described by the group and what health disparities exists for this group.

By the same token, Hispanics highly value spending time with loved ones. In the health care setting, Hispanics may show their “togetherness,” which means their closeness of families (Giger, 2008). The nurse should allow them to have family in their room if possible, to aid in the facilitation of information from the client. Despite the need for closeness, Hispanics may ask to have the same gender sex care provider for their needs, and the nurse should be able to accommodate this (Giger, 2008).

The Hispanic community in the largest minority in the USA and the fastest growing, it is also one with a high incidence of preventable diseases such as Diabetes, periodontitis, colorectal cancer and HIV. Obesity and teen age pregnancy are significantly more prevalent in Hispanic/Latino population as well. Rate of vaccination is also below that of the majority of the population. Addressing their health care makes good public health and economic sense.

The “Hispanic Paradox” Among women from rural communities, traditional lifeways (traditionalism) may promote certain healthy outcomes (Coe, Attakai, Papenfuss, Giuliano, Martin, & Nuvayestewa, 2004); by contrast, a loss of cultural traditions during the process of acculturative change may promote disease or disorder. Recent Hispanic health research has identified an Hispanic paradox among low-acculturated Hispanics/Latinos,1 that is characterized by unexpectedly lower rates of adverse health outcomes observed among the least acculturated Mexican immigrants relative to their more acculturated Mexican American peers. This paradox has been observed within three health-related areas: the perinatal health of Hispanic/Latina women, mortality rates

This is a narrative of one Mexican American woman’s experiences and her views on the importance of passing down the cultural beliefs of her ancestors. In the section of the country in which I live there is a large population within the community of Mexican American culture. Although I have frequent contact with people of Mexican American heritage either through employment or interaction out in the community, I have a limited understanding of their culture. For this reason, I chose to learn more about the population of people I have frequent contact with and as a professional work with as clients in the field of mental health counseling. The quest of finding someone knowledgeable to discuss the population, their cultural background and some of their necessities, as well as some past experiences, led me towards contacting a church. This took calling two different churches before the person at the second church informed me that I needed to speak with, Mrs. Socorro Garcia head of their Hispanic Ministries. Unfortunately, Mrs. Garcia was on vacation when I called, but I was able to speak with her over the phone the following week, setting up an interview in person at her office a couple days later. This was a relief because I was becoming concerned about locating someone for a personal interview.

Hispanics orientation to the present is demonstrated by the fact that getting diseases is a bigger concern than dying in their culture (Centers for Disease Control, n.d). Morbidity is of greatest concern to this culture and includes lifestyle and behaviors affecting health, environmental factors such as exposure to pesticides, unclean air, and polluted water, and the ongoing need for more effective use of health services (Centers for Disease Control, n.d). Hispanics have higher rates of several cancers related to infections (stomach, liver, and cervix) and are more likely have cancer detected at a later stage because of the common reluctance to see a doctor until the illness has severely progressed (Centers for Disease Control, n.d). Environmental

Hispanics are the largest and fastest growing ethnic minority group and there are estimated to be about 54 million living in the United States (Office of Minority Health & Health Equity, YEAR). The Hispanics are a minority group that struggle every day to survive, to provide for their families, to stay healthy and to live quality lives. This paper will discuss the Hispanics current health status, how health promotion is defined by the Hispanics and what health disparities exist for the Hispanics. Lastly, this paper will discuss the three levels of health prevention and their effectiveness given the unique

A term of endearment for a female is “mommy” which is used in informal situations and shows respect. In a study of Reading, it was found that the residents have an increased propensity to suffer from heart disease (40%), cancer, obesity (35%), high blood pressure, diabetes (18.9%) and untreated mental health conditions (21.3%). Overall, the residents are in poorer overall health (32.6%) than the majority of the country. Almost half of the residents of Reading reported binge drinking (47.9%) and almost a third smoke (29.3%) Healthcare is unaffordable for many, and many uninsured visited an emergency room (44.1%) because of their lack of health insurance. In addition, 23.7% did not fill a prescription related to cost, and 33.2% don’t have any dental work performed. The Primary Care Physicians to population is 3,499:1, where as the rest of the U.S. the ratio is 631:1. This is far out of proportion to the rest of the country. (Berks County…, 2013) Lack of speaking English is a barrier to accessing health care, and illegal immigrants are reluctant to access available services because of fear of repercussions. Approximately 42.5% residents speak Spanish at home and 53.3% speak English in the home. (Reading…, 2013) As far as education, 32.9% have less than a HS degree, 56% have graduated from HS, and only 11.1% have a college or higher degree. There are several public and private schools K-12, four colleges/universities, three technical

An example of this would be to focus on the woman of the family. In the article Culturally Competent Nursing Care for Families: Listening to the Voices of Mexican-American Women, Eggenberger, S., Grassley, J., Restrepo, E. (2006) state, “Gaining a cultural perspective of health care in the Mexican-American population necessitates listening to the voices of women because they assume primary responsibility for maintaining family health” (p.1) Having an insight on the importance of matters such as religion, health beliefs, and attitudes can open up the idea of the individuals family on the promotion of health.

I chose this article because I find it interesting and of great help to any nursing and health care professional; I am Hispanic myself and constantly looking for better ways to help my community. I personally see my grandmother struggling whenever she needs to see her physician, as she sometimes does not understand what him and his staff are telling her. On another note nursing is an ever changing career and the Hispanic culture is growing at an enormous rate, becoming culturally competent does not only provide the patient with good care but can make the nurses’ job easier and more rewarding. I do feel that there should be more research on this subject; the best way to learn about a patient’s cultural beliefs is to ask the patient. I think that the population that the author intended to target is health care professionals; however, I know that any immigrant can benefit from reading this article.

Home visitors have become responsible for meeting the emotional needs of the families in early intervention. Because of this they need to have a skill set to be able to work with culturally, socio-economically and linguistically diverse families. Brotherson, Summers, Naig, Kyzar, Friend, Epley, Gotto and Turnbull (2010) discuss the importance of families and early intervention specialists as the main component of home visits. In order to see how these partnerships worked, they interviewed early interventionists and families. The data collected was used to study the emotional needs of both the families and the specialists and how they were met and by whom. The authors also found that in order for an emotional bond to happen between the

Thùy Nguyen and I first met at my home in Austin, Texas. Thùy came to visit her close friend - my first wife Dao Tran. This was during Thùy’s second U.S. visit; Oct. 27, 2012 to Mar. 4, 2013. At that time, Thùy’s English was minimal and I knew details of her through my wife Dao. Thùy visited frequently and helped Dao – who had terminal cancer. Dao was physically weak, but brutally honest and mentally sharp in a “matter of fact” way. Once Dao asked me, “What are you going to do about women after I’m gone?” I said, “Don’t worry about that!” She continued with the subject, “You’re young and going to need a woman and that is ok.” I tried to dismiss her again with a joke. Dao bluntly said, “Thùy is a great woman. She helps others, never has had a boyfriend and is very good.” She continued very sincerely, “I wish Thùy would accept you! I would bow at her feet if she would accept you!” I let Dao finish her wish but didn 't think more about the matter.