Cultural Competence And The Elderly

On August 14, 1935 in Austin, Texas, President Franklin D. Roosevelt inked his signature on the Social Security Act. It was originally implemented to resolve problems with unemployment, old age insurance, and public health and welfare. The Great Depression was the catalyst for the creation of the Social Security program, and the basic structure was very similar to Germany’s social insurance programs from the 1880s. Today, social security is mostly used for retired senior citizens starting at the age of 62. At 62, American citizens can begin to collect, but will only receive 35% of their monthly benefit due, rather than the maximum amount of 50% when they reach the full retirement age of 66. (cite) In addition, social security is dispersed to about 14 million disabled people under the age of 62, who can no longer work in the labor force for various reasons. The people who qualify as disabled are just a small percentage of those collecting compared to senior citizens, and are often not mentioned when social security issues are brought up because of their minute effects on social security distribution.

The Social Security Act of 1935, signed by Franklin D. Roosevelt, created a program that included social insurance programs, as well as public assistance. Both programs came about due to the depression and were created as part of the New Deal to benefit the citizens who needed assistance. While both programs were created to assist the public, each program had different eligibility requirements and accomplished different tasks.

In 1930’s the Great Depression triggered a crises in the nation’s economic life. The Great Depression left millions of people unemployed and penniless. People consider leaving their farms behind to work in the cities factories to send money home. But as they grow into their new lifestyles the aging parent would stay behind to keep their dream of landowner ship. The seniors would be left in the hardest times of need living off the land. President Roosevelt’s New Deal was created to help jump-start the economy by providing unemployed workers with jobs and benefits packages for temporary relief. One of the many steps taken to alleviate the burden on the American people was the passing of Social Security Act on August 14, 1935 and its amendments by Congress and the President, Franklin D. Roosevelt.

The main ideas that Lisa Bourque Bearskin is stating in this article is that nurses need to be more sensitive to cultural care. They need to be aware of the issues in healthcare and strive to remove any barriers for certain groups, such as the first nations, and they need to disrupt any unequal relations in the social, political and historical aspect of healthcare. The way this can be done is by shifting their thoughts from cultural competence to cultural safety by way of relational ethics. Cultural competence is explained as the knowledge, skills, and attitudes that nurses need to use to care for cultural differences. Another framework described cultural competence as going through the stages of cultural awareness, cultural knowledge, cultural skill, cultural encounter, and cultural desire. Cultural competency works very well when making policies in an agency but this view fosters a view of culture that does not encourage nurses to ask questions. (Bearskin, 2011) Cultural Competence causes different cultures to be put in a box, which cannot be done because cultures are constantly changing and every person’s culture is different. Culture is individual. Lisa Bourque Bearskin goes on to say that cultural safety is what nurses should use for ethical practice. In cultural safety, a nurse must strive to improve health care and its access for all people, while recognizing that there are many different cultures that have a right to be recognized. Bourque

Lastly, the Social Security Act was one of many reform efforts that sprung from the New Deal. This act was an attempt to provide general welfare for women and their children, those with disabilities such as blindness, older individuals, and public health, and helped financially support them while they were looking for work elsewhere. It was most common with elderly individuals, as they received what is known as “old-age pensions.” This was one of the few reforms that has stayed with us since the New Deal, and was economically successful in bringing America out of the Great

I have learned that it is important that educators  and health providers be trained on cultural competency to understand the population they are serving. Marks, Sims, and Osher (King, Sims, & Osher, n.d.) define cultural competency  as a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals and enables that system, agency, or those professionals to work effectively in cross–cultural situations" ( as cited in Cross et al., 1989; Isaacs & Benjamin, 1991). Health providers and educators should investigate demographic patterns or trends in the place where they live and work. This brings awareness of the types of cultures that they might come across when they are working with people. Organizations should integrate and implement policies that promote the value of  diversity, self-assessment, manage the dynamics of difference, acquire and institutionalize cultural knowledge, and adapt to diversity and the cultural contexts of communities they serve (Georgetown  University, 2004). Georgetown University (2004) also stresses that culture competency grows gradually and is always open for improvement.

Cultural Competence is important for many reasons. First, it can help develop culturally sensitive practices which can in turn help reduce barriers that affect treatment in health care settings. Second, it can help build understanding, which is critical in competence, in order wards knowing whom the person

During the Great Depression people lost their jobs and didn 't have money available when they retired. Franklin Roosevelt wanted citizens to have money available if they became unable to work anymore or not start work at all because of an unforeseen event in their life. By reading the debate and ideas of the Act, a better understanding of how the Social Security Act came to be can be gained. The Social Security Act was created in 1935 for people that are disabled who can 't work at all and for citizens that work to have money put into social security and available after retirement. It was used to help citizens after the Great Depression who lost their jobs. This act would help citizens that work to have benefits by having employers pay into a trust fund, so money would be available to employees after they retire or become disabled while working.

Cultural competency is the capacity of people or services to include ethnic/cultural considerations into all aspects of their work related to health promotion, disease prevention and other and other healthcare interventions (Cultural competence is important for several reasons, (Purnell, 2008a).First, it can contribute in the development of culturally sensitive practices which can reduce barriers that effect treatment in healthcare settings. Second, it can promote understanding, which is detrimental in cultural competence assessment, to know whom, the individuals known as the primary care provider and whom they view as the primary healer, can attribute to the promotion of trust and increase the person’s interest in participating

In 1935 the Social Security Act was established to provide Old Age Assistance and Old Age Survivors Insurance and in 1950, then President Truman, held the first of all National Conferences on Aging and the first federal social service programs were funded for the

The social security act was created by President Franklin D. Roosevelt so that he could put in place provisions in order to help the elderly. The social security act a document that helps impoverished citizens, such as the elderly and physically impaired receive benefits after retirement. Citizens’ in America during the great depression where expected to work weather elderly or physically disabled. These citizens weren’t afforded the financial stability to retire so work was a necessity to acquire money. “Prior to social security, the elderly routinely faced the prospect of poverty upon retirement” (U.S SSA). This effect of the great depression led to a lot death and homes turning into singled parent homes with no income. “The widespread

Understand cultural competence and why is it important especially for that have a diverse workforce.

signed into law the Social Security Act. This was a federal retirement program for people

Franklin D. Roosevelt signed the original Social Security Act. It comprised of two services: a Social Security retirement benefit that applied only to workers, and a welfare program for the elderly called Old Age Assistance. Social

The Social Security System is in need of a new reform; our current system was not designed for the age stratification we have at this time. The U.S. Social Security Administration Office of Policy states, “The original Social Security Act, signed into law on August 14, 1935, grew out of the work of the Committee on Economic Security, a cabinet-level group appointed by President Franklin D. Roosevelt just one year earlier. The Act created several programs that, even today, form the basis for the government's role in providing income security, specifically, the old-age insurance, unemployment insurance, and Aid to Families with Dependent Children (AFDC) programs.” Social Security was modeled to aid the elderly citizens, however during the