Kidney Disease: A Cultural Analysis

Cultural competency aids in closing the “disparities gap” in health care. ("OMH," 2012, para. 2) In doing so, health professionals and their clients are better able to discuss concerns without cultural differences getting in the way of effective communication and problem solving. Being respectful of and sensitive to the client’s health beliefs, culture, values, and diverse needs can bring positive outcomes within treatment and patient care. After all, is it not the main job of the health care provider to ensure patient trust? Open forms of communication when dealing with client issues can only be provided if the patient is comfortable with his provider and believes his

There is a clear evidence that links Clinician-patient communication to patient satisfaction, treatment adherence and health outcomes. The understanding and the appreciation of cultural differences highly influence the communication and the plan of treatment (6, 7). Failure of physicians in understanding sociocultural differences between themselves and their patients might results in lower quality of health care (8).

With the increasing immigrant population a third barrier affecting access to health care is a cultural barrier. Culture barriers can include values and beliefs, language and race and ethnicity. Health beliefs and behavior can become a barrier when patients decide not to seek medical treatment and instead turn to home remedies and healers when treating illnesses. Approximately 10% of Americans speak a language other than English and can be classified ad being limited in their proficiency. For these patients language becomes a barrier and they are less likely to receive optimal medical treatment (Flores, 2006). Horton and Johnson (2010) stress the importance of communication in reducing disparities and increasing the trust of patients in the health care system. As reported by the American College of Physicians, evidence reveals that racial and ethnic minorities are more likely to receive inferior care when compared with non-minorities. This occurs even when minorities have access to insurance and adequate income (Racial and ethnic disparities in health care, 2010).

It is important for policy makers to create services that are culturally sensitive since the United States is a culturally diverse country; moreover, Healthcare professionals needs to be culturally competent so that they can guide policy makers in making sustainable systems for individual communities. “Efforts to improve cultural competence among health care professionals and organizations would contribute to improving the quality of health care for all consumers” (GeorgeTown Health Policy Institutes, 2004, para 31). Language barrier is another culture issue that prevents the community from getting the care that they deserve. “Cultural and language differences and socioeconomic status interact with and contribute to low health literacy, defined as the inability to understand or act on medical/therapeutic instructions” (Shaw, Huebner, Armin, Orzech, & Vivian, 2009, p.1). There should be health policy addressing this issue because of the confusion and inappropriate treatment that many

I am a Brazilian black male with military experience and diplomatic knowledge who grew up in a low-income household in a developing country. In addition, I have traveled to about 35 countries and am acquainted with people from different socioeconomic backgrounds, religions, ethnic groups and nationalities. These characteristics and experiences allow me to see the world from perspectives that are unusual for most people. Besides being open-minded and non- judgemental toward all my future patients, I personally understand the difficulties faced by people of color, immigrants and individuals from low-income families. In sum, my background and my cultural literacy will allow me to be a sensitive and culturally aware patient-centered care.

Adapting to different cultural beliefs and practices requires flexibility and a respect for others view points. Cultural competence means to really listen to the patient, to find out and learn about the patient's beliefs of health and illness. To provide culturally appropriate care we need to know and to understand culturally influenced health behaviors. However, becoming culturally competent is a much more daunting task. Culture (and ethnicity) often influences a patient’s perceptions of health and illness. Therefore, if healthcare providers appear insensitive to cultural diversity, their actions may negatively affect the quality of the healthcare that they provide.

Department of Health,” 2011). The United States is composed of many different groups of people and diverse cultures. It is unfortunate that even today someone’s culture or race is a factor in determining the health care they receive and the quality of the care they receive (“Eliminating

A vital foundation for a high-quality care delivery is an efficacious communication between the patient and the healthcare providers (Gengler & Jarrell, 2015). Fadiman (1997) recounted the conflict between a refugee family from Laos and a small hospital in California over the care of Lia Lee, a Hmong girl with severe epilepsy, in her book The Spirit Catches You and You Fall Down. Despite both sides wanting the best care for Lia, the lack of cross-cultural communication between her Hmong family and her American doctors, lead to her tragedy (Fadiman, 1997). Awareness regarding the disparities in culture and language of our patient with ours and how to address them should be taken into account when providing healthcare since the life of a

America is melting pot; there are an enormous variety of cultures and ethnicities represented in our general population. This population diversity is also reflected in healthcare participants. With the diverse amount of backgrounds, there also becomes a need for transcultural health care and acknowledging that not every culture views

In “Asian Americans’ Reports of Their Health Care Experiences,” Ngo-Metzger conducts a study on satisfaction levels between whites and Asian Americans and whether this element is a product of clinical encounter issues or patient demographics. Results show that Asian

The first way was that Asian Americans were viewed as perfect and not having any health disparities. The second consequence was that Asian Americans are often lumped together and not divided into individual nationalities. These two consequences have led to a lack of resources being allocated to healthcare providers learning of Asian American health care concerns (Yi, Kwon, Sacks, & Trinh-Shevrin,

Asian Americans (AAS) are diverse ethnic group’s origins from the Far East Southeast Asia and Indian continents. More than 800 languages are spoken among AAS. They are one of the fastest growing populations in the US. 43 percent increase between 2000 & 2010. There are 15.5 million Asian Americans living in the United States (2012 Census Bureau population). Even if all Asian Americans have the same traits, such as strong family values, importance in educations, following tradition and valuing personal relationship, still there are many differences in language and culture among Asian American groups as well. In 2012, the total private insurance coverage for Asian Americans was 68.8 percent, as compared to 74.4 percent for the non-Hispanic White population. 15 percent of Asian Americans were uninsured, as compared to 10.4 percent non-Hispanic White Americans.

Asian cultures have a very strong family bond and this is very important to them and often surpasses that of an individual. The older family members are rarely questioned and therefore they are often the decision makers and will decide for themselves after being made to go to a hospital that they do not want treatment and all health care providers must respect this decision and be culturally competent in handling the situation. One must not make a patient or family feel bad due to their cultural decisions. We must look at our own beliefs as nurses in order to know what our beliefs are in order to understand those of our patients.

In the United States today cultural diversity is growing more prevalent every day. The report from the Institute of Medicine (IOM: Unequal treatment, 2002) presented information that racial and ethnic minorities of all ages receive lower quality health care compared to their non-minority counterparts. Every effort should be made to stop the disparities surrounding cultural differences while attempting to understand the cultural health behaviors, increase cultural

There are also a few tests that will show whether or not the kidneys are filtering the body’s fluids as they should. A simple urinalysis can be done to detect protein or blood in the urine. This will alert the medical professionals to a possible problem with the proper functioning of the kidneys. There are also Blood Urea Nitrogen (BUN), creatinine, and glomerular filtration rate (GFR) tests that will measure the