I was raised in a working middle class family in a small town outside of Los Angeles. My parents stayed together during my upbringing and I spent my entire childhood and teen years in the same house with the same neighbors. I went to high school with the same students I attended kindergarten with. My mom was a grocery checker, and had been since she was seventeen, and my father worked in construction. My father paid the majority of our bills, but it was my mom’s health insurance that we relied upon. She had such good coverage that we never had to pay to see any doctor and all of our medications were free. I was even able to receive a full set of braces at no cost to my family. Because of this, I spent most of my childhood under the impression that all health care was free and accessible to everyone. I literally had no idea other people had to pay money to see a doctor or get medicine. It was not until after my mom’s grocery union went on strike in 2004 that we started having a copay for doctor’s visits and prescriptions.
My parents always made sure my
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Most of the patients were Hispanic and spoke only Spanish and some limited English. Since then, I spent two years in Fiji Islands working on a community health empowerment project for the Peace Corps. It was at this time I encountered cultural health practices so vastly different than my own, it took me two years just to begin to understand. Although most of the local beliefs were rooted in folklore rather than science, I had to learn to reach patients in a way that would continue to respect their beliefs while still providing health education they would understand. I believe this experienced has forever changed the way I view and understand the importance of providing culturally sensitive and competent care. I believe all people, from all walks of life, deserve access to adequate
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
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
When clinically assessing patients in care settings, it is paramount for health professionals to elicit pertinent information that could be crucial for delivery of care. This is particularly important in the United States because the increasing diversity in racial and ethnic composition of the population has presented cultural challenges that care givers must navigate to provide culturally competent service. Cultural competence during delivery of care requires sensitivity to the cultural, social, and linguistic needs of patients (Betancourt, Green, Carrillo, 2002). As a consequence, care providers need cultural assessment tools that will enable them
In this discussion, a Hispanic or Latino group is considered. While the statistic is not available for the city of Cleveland, in Ohio this group represents a 3.7% of the total population as of July 1, 2016 (USCB, 2018). The Hispanic/Latino group represents people from Cuba, Latin America, Mexico, Puerto Rico, Caribbean and other Spanish cultures, regardless of race (Juckett, 2013). While a treatment plan in hospitals is the same for all the patients, the perception varies in different ethnic groups or races. Thus, a health care provider need to be aware of Hispanic/Latino cultural beliefs and implement this knowledge into a daily routine.
I assume that in today’s world, there is a lot of information and scholarly research available that shows factors such as economic status, income, social situations, education, ethnicity, employment, availability of affordable housing and geographical (place where one was born and lives) conditions have a tremendous impact on the health and well-being of individuals, countries and communities (Amaro, 2014). Inequalities in health and well-being are created by social determinants and economic conditions for many in our community (Brannigan &Boss). The people that are affected the most are people with low income and minority groups here in the United States. This creates health disparities and unequal care (Brannigan &Boss). In many developing and under-developed countries, the situation is dire: lack of modern health services, illiteracy, poor economic conditions has created a cultural situation of desperation and unhealthy behaviors. Corruption by African governments is rampant. To improve the health and wellbeing of communities, we need to start thinking of how we can create a culture of health.
I wasn’t going to take this class. I’m already taking Emerging and Reemerging Infectious Disease on Thursday so I thought I filled my Professor Gezmu quota for the semester, but the first day of class I was reeled in. I’m pretty sure I was staring at Gezmu with the most dumbfounded shock-filled face of all time. Prior to the class I really did think I was a cultured person. I’m Nigerian in America. I can pretty much play the race card whenever I want and people think I’m so sophisticated. That was the totality of my racial, cultural, socioeconomic identity: first generation Nigerian Christian living in America from an upper middle class Jewish and Asian town. That was who I was, that was where my opinions came from. And to be honest, I read one of my father’s books about transcultural nursing so I thought that’s what the class was going to be about. Wrong.
“Americans can take come pride in the fact that attaining what the medical profession calls “cultural competency” is a goal of most health care institutions. However, achieving this goal in today’s health care environment, filled with diverse patient and provider populations, is no easy task. American hospitals are increasingly being staffed by and serving diverse populations. This creates the ideal breeding ground for conflict and misunderstanding among the staff and inferior patient care” (Galanti, 2011). To gain a more thorough understanding of this concept, I will be giving four examples or viewpoints that are completely different, when looking at the Hispanic belief against the Native American point of view.
In order to understand heritage and apply the Heritage Assessment Tool, one most know. What is heritage? According to the UMASS Amherst Center for Heritage & Society “Heritage is the full range of our inherited traditions, monuments, objects, and culture. Most important, it is the range of contemporary activities, meanings, and behaviors that we draw from them” (Heritage & Society n.d). Leaving one’s culture, belief, and country to a better tomorrow, could be exiting, adventurous but at the same time freighting. Therefore maintaining one’s heritage is the motor that keep this country different from all the other countries in the world. The diversity of cultures and the traditions passed from generation to generation is what differentiates one another. Distinguishing health maintenance, health protection, and health restoration between different heritages. The Heritage Assessment Tool helps health care giver the knowledge to appreciate the different heritages and an understanding how it influence each individual’s life.
In the preparation of writing this paper, I reviewed several educational videos from the U.S. Department of Health and Human Services (n.d.) that show healthcare providers interacting with patients from different cultures. I chose the video that shows a Hispanic man interacting with his surgeon. I chose this video because all counties in Ohio except one are seeing increases in the Hispanic population. There has been a nine
One of the greatest things about nursing is that we have the opportunity to share with different cultures and learn about them. Our patients are complex; they each have their religion, culture, and life choices. Delivering health advice and not knowing much about a patient’s cultural background will influence how the patient may perceive the nurses’ advice. The article that I did my research on was published in 2011, by Perez-Avila, Sobralske and Katz; the name of the article is “No Comprendo: Practice Considerations When Caring for Latinos With Limited English Proficiency in the United States Health Care System”. In the United States, Hispanics form the largest minority. Most of this community has limited English
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).
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.
In a perfect world, race, ethnicity and culture would have no negative effect on the medical care we receive, yet problems do arise and it affects the quality of care the patient receives. Language barrier, poor socioeconomic status, and poor health literacy also contribute to health care disparity. For Lia, it was more than her skin color, it was all of the above, her parents did not speak English and they were illiterate. They had trouble understanding the American healthcare system, had trouble or little interest in adjusting to or understanding the American culture. They didn’t work, which in addition to cross cultural misunderstanding, helped contribute to animosity between the Hmong and the host community, because some in the Merced area did not like or appreciate the fact that some Hmong did not work and relied on welfare to make ends meet. All these factors, contributed to the poor quality of
Cultural wellness is not a problem for me because I accept anyone for who they are or want to be in life. I don’t like to judge people based on how they look because behind their smile or physical self there is something in life that made them change on how they want to be by sexual oreinted or gender. I accept every race because I know how it feels not to understand just english .
Today when people move across continents with the help of technology their culture and heritage moves along with them. Almost each and every continent is populated with people from different nations who have diverse traditions and cultures. Thus knowledge of health traditions and culture plays a vital role in nursing. People from different cultures have a unique view on health and illness. Culture-specific care is a vital skill to the modern nurse, as the United States continues to consist of many immigrants who have become assimilated into one culture. I interviewed three families of different cultures: - Indian (my culture), Hispanic and Chinese. Let us see the differences in health traditions between these cultures.