Cultural Assessment
The population of the United States is continually rising. The birth rate continues to rise, but more importantly, the number of foreign-born immigrants that relocated to the United States in 2003 was a staggering 33.5 million, and that number rises every year (Jarvis, 2008). With such a large immigrant population comes the need for medical professionals that are culturally competent. Being culturally competent means that the caregivers, “understand and attend to the total context of the individual’s situation, including awareness of immigration status, stress factors, other social factors, and cultural similarities and differences” (Jarvis, 2008, p.38). Because the United States is so diverse, it is a federal
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Her father built a house in Coal Valley, IL when she was very young, where she lived until she was married at the age of 18. Her paternal grandparents were both born in Germany. It is unknown what city or village in Germany they came from, other than the northern part of Germany. They immigrated to the United States shortly before her father was born. She remembers her grandparents speaking little to no English, then, eventually broken English. Her father spoke English as a first language and some German. Her mother, her sister and she never learned the German language. English was the only language spoken in the home. Her father was a coal miner and her mother took care of the home. In her culture, each generation lived in separate homes, whereas in some cultures, multiple generations live in the same household. However, her grandparents and extended family members did live nearby, so she spent a lot of time playing with her cousins, and saw her grandparents, aunts and uncles on a regular basis. They would all get together on Sundays after church, and have lunch together.
She lived at home until she married at the age of 18. G.E. went to public schools, then to secretary school after graduation. Her husband was also 100% of German decent. They had two sons and a daughter. Both of her sons live close by, but her daughter lives in Nebraska. Her daughter and she talk on the phone every day.
Her husband was in the US Navy during WWII and her husband
As the United States becomes more and more culturally diverse one cannot help but be exposed to various cultures and worldviews. America has long been called the melting pot, and that term has never been truer than it is today. According to Green and Reinckens (2013) the U.S. Census Bureau estimates that by the year 2041 the U.S. population will be a majority minority. In other words, less than half of the population will be non-Hispanic, single race Caucasian. This growing diversity makes cultural competence in healthcare a necessary
I was born and raised in the Philippines. I identify myself with the Filipino culture. I chose to learn about the Mexican culture, so I have interviewed my coworker. The interview was focused on the meaning of food in their culture and its impact on their health.
As the United States becomes more and more culturally diverse one cannot help but be exposed to various cultures and worldviews. America has long been called the melting pot, and that term has never been truer than it is today. According to Green and Reinckens (2013) the U.S. Census Bureau estimates that by the year 2041 the U.S. population will be a majority minority. In other words, less than half of the population will be non-Hispanic, single race Caucasian. This growing diversity makes cultural competence in healthcare a necessary requirement for effective
Cultural competence embraces: ... gaining knowledge of different cultural practices and world views. Developing skills for communication and interaction across cultures.[ There is excellent evidences shows that cultural competence training improves the knowledge of health profession), and good evidence that cultural competence training improves the attitudes and skills of health professionals and impacts patient satisfaction Cultural competence training shows promise as a strategy for improving the knowledge, attitudes, and skills of health professionals. . Directly interacting with patients from different cultural backgrounds helps nurses increase their cultural competence. s. Health care providers must possess the ability and the knowledge to communicate and to understand how health behaviors are influenced by culture. Having this ability and knowledge can eliminate barriers to the delivery of health care.
According to Hunt (2014), Culture plays an integral role in healthcare. Culturally congruent care is care that is customized to fit with the patient’s own values, beliefs, traditions, practices, and lifestyle. As nurses we are expected to deliver culturally congruent care. We may not always agree with our patients ' cultural practices, but we must try to incorporate them into the individualized plan of care for our patients, as long as these practices do not cause harm.
That become other challenge in her life. With the permission of her parents they left home to come to the united states to find work.They only had a cousin and a uncle here. Eventhough they struggle because they didnt know a word of english when they arrive to chicago. She says that is was a good experience because she started in a world so small and didnt even know that other places existed. Therefore when she came to the U.S she saw a world so big compare to her life back home. She basically jump from job to job because she didn't know english or they didnt really need people after a while. Eventually she landed a factory job where she worked for fourteen
The United States (USA) is rapidly becoming one of the most culturally diverse nations in the world and if the trend continue, it is projected that 5 7% of the US population will be minorities by 2060 (Loftin et al, 2013). As community health nurses prepare for the increasing needs and demands of the community, it is imperative that nurses possess the attitudes, knowledge and skills necessary to deliver quality and culturally appropriate care to a diverse population.
lived in an era where school ended at eighth grade for blacks. Her father drove over 100 miles
Culture is described as a set of beliefs, values, and assumptions about life that are widely
It was not merely the ubiquitous presence of death which transfixed but the manner in which death was observed, or denied, as the case may have been. On the oncology unit I first encountered the pervasive silence which surrounds, engulfs and renders nursing complicit. What needed to be stated between physician and dying patient remained largely unsaid. Too often patients were left to discern their fate through a solitary process of elimination. At this stage a keen sense of betrayal gave rise to anger which, for many encompassed the nurses as well. As caregivers we nurses enabled the charade its continuance, administering ultimately futile treatments and emptying emesis basins long after the oncologists ceased making their rounds. My brief time on the unit stunned me, and I became, if not mute, less certain of the efficacy of my own voice. The complex ethical conflict which arose from the silent complicity of the oncology ward ended when my father’s death on the unit which I practiced propelled me from the hospital into community health nursing. (Gorman, 2001)
My southern heritage has directly influenced the person I am today. I grew up in South Louisiana and I have lived there all 25 years of my life. My childhood was not easy, but I think those tough situations prepared me for life, and taught me the value of family. I attended a private, Christian school and I am so appreciative of my parent’s sacrifices that allowed me to receive that education. I would describe myself as a kind, hardworking individual who respects, cares for, and values others. I believe these attributes are a genuine reflection of my upbringing. My Christian faith is what motivates me each day and it is also what has inspired me to help others through a career in nursing.
They married when she was 18, and they moved all over the US throughout the year and ended up in France. My great-grandma had a baby in 1957, but when their daughter was only two months old she died suddenly due to SIDS. The loss of their first daughter was understandably traumatic for both of them; a short time later, they moved back to the United States and settled in California for a few years. My grandma, aunt, and uncle were born during this time. He also got a master’s degree in Mechanical Engineering during this time.
Rheumatic Heart Disease is a condition in which the valves of heart are damaged due to acute rheumatic fever. Lack of personal hygiene is the main factor that led to Shakira’s disease as in remote areas, there is lack of cleanliness and sanitation that resulted in RHD. Secondly, frequent travels from remote area to another remote area also have contributed to her disease.
The patient’s temperature, wound odor, and vital signs are indicative of an active infection that may have spread to the blood stream. To rule out sepsis a complete blood count, lactic acid, procalcitonin, blood cultures, and wound cultures should be ordered. Blood work should be drawn and tested for an elevated white blood cell count which is found in the complete blood count. A wound culture should be obtained as well as blood cultures prior to any antibiotic administration if possible, this will help determine the specific infective organism(s) and determine antibiotic treatment. An abdominal x-ray
For my Oral History project, I decided to interview my mother because I wanted to learn more about her life growing up, and the difficult challenges that she faced growing up as a women in a different generation. My mother’s name is Joanne Chrisinger and she is currently sixty years old. She was born to a family of four on April 25, 1953. My mom grew up in an Italian family because both of my grandparents lived in Italy before they decided to move to America and start a family. Joanne has two older sisters, and one younger sister, which made her the third born of the family. My mom grew up in a middle class family just as my father did and she spent most of her childhood in the Washington D.C. area. Although my mom decided not to go to college, she has worked her whole life, and she has a high school diploma. I feel that she chose not to get a college degree because she worked on Capitol Hill after high school and was ready to settle down and start a family. My mom currently works as a receptionist at a law officer in Fairfax City. She also is a homemaker and a great cook.